妇科急腹症468例诊断与鉴别诊断

目的：探讨妇科急腹症的诊断及鉴别诊断方法。方法：对１９９４年１月￣１９９９年１２月我院收治的妇科急腹症病人４６８例的临床资料作回顾性分析。结果：盆腔炎占发病率的４４．０％。异位妊娠占发病率的３６．７％。两者为最常见的科科急腹症。盆腔炎、异位妊娠、卵巢破裂、出血性输贸管炎、急性阑尾炎易混淆。根据病人的病史特征，如停经史、近期不洁性生活史及宫腔操作史等，结合后穹窿穿刺及ＨＣＧ检查，可对妇科争腹症病人进

DIAGNOSIS AND DIFFERENTIAL DIAGNOSIS OF 468 CASES OF GYNECOLOGIC ACUTE ABDOMEN

objective:To study the methods of diagnosis and differential diagnosis of gynecologic acute abdomen. Methods:This is a retrospective analysis of 468 patients of gynecologic acute abdomen from January. 1994 to December, 1999. Results: Of the468 cases. 206were pelvic inflammatory disease, 172were ectopic pregnancy. They are the most common disease of gynecologic acute abdomen. Because of the similarities among pelvic inflammatory disease \ ectogic preg nancy \ repture of ovary \ hemosalpingitis and acute appendicitis. They shoud be identified one another.To study not only on the charactes of the illness such as amenorrhea history \ current sexual history \ operation history in uterine cavity and so on, but also on the results of culdocentesis and blood HCG. Which could help to make the differential diagnosis of the disease. Chnclusion: Culdocentesis is an important and efficitis method in the differential diagnosis of gynecolngic acute abdomen.