【摘要】 目的 回顾性分析卵巢黄体破裂的临床特征，增加对该病的认识，提高正确诊断率。方法对赤壁市蒲纺医院自1999年~2007年来确诊的卵巢黄体破裂39例病例进行回顾性分析。结果 39例中年龄17~36岁，平均年龄26.8岁，已婚33例，未婚6例。发病诱因：6例性生活后发病，1例妇科检查后发病，其余无明显诱因。误诊为妇科炎症或急性阑尾炎6例，误诊为卵巢囊肿扭转5例，待查6例，初步诊断符合率72.3%。内出血量与是否合并妊娠及破口部位有关，最多达2500mi以上。手术治疗28例，保守治疗11例。结论 提高对此病的认识且及时、准确的诊断治疗可减少内出血量及增加保守治疗机会。

    【关键词】卵巢 黄体 破裂 手术

    Reviewing the Clinical Study of 39 Cases with Acute Abdomen that Caused by the Rupture of Ovarian Corpus Luteum. Yu Xiang-feng.Pufang Hospital in Chibi,43732,Hubei China.

    【Abstract】Objective To review the clinical study of the rupture of ovarian corpus luteum and enhance the cognition and diagnosis.Methods 39 cases of the repture of ovarian corpus luteum admitted to our hospital were analyzed retrospectively.Results the age ranges from 17 to 36 years old. There were 6 cases onste after vita sexualis and 1 case after physical cheek-up in gynecology, the rest have no evidence motivation. And 6 cases were erroneous diagnosis for infiammation of gynecology or acute appendicitis, 5 cases for torsion of ovarian-cyst and 6 cases for further observation. The rate of primary diagnosis was 72.3%. The internal hemorrhage of abdomen was concerned with the complication such as pregnancy and the location of the rupture. The bleeding can reach to more than 2500ml. Of the 39 cases, 11 cases got conservative treatment and the rest got surgery.Conclusion Enhance the cognition for diagnosis and treatment in time and correctly can reduce the internal hemorrhage and increase the opportunity for the conservative treatment. ......