Diagnosis and treatment analysis of 57 cases of ruptured ovarian endometriosis cysts complicated with infection
YONG Yuanyuan
YONG Tiaotiao
WU Lixian
Abstract：Objective To analyze the clinical characteristics and diagnosis and treatment methods of ovarian endometriotic cysts(OE)rupture combined with infection.Methods The clinical characteristics,diagnosis and treatment process,and prognosis of 57 patients with OE rupture complicated by infection admitted to the Gynecology Department of Ningxia Medical University General Hospital from January 2020 to January 2023 were analyzed and summarized,and were discussed with OE rupture complicated by infection in relevant literature.Results(1)Clinical manifestations and laboratory tests:Among the 57 patients,48 showed abdominal pain,fever,and pelvic masses,while 51 patients had elevated levels of white blood cells(WBC),C-reactive protein(CRP),and carbohydrate antigen CA125.(2)Comparison of surgical methods:There were a total of 39 cases in the laparoscopic group and 18 cases in the open group.There were statistically significant differences in intraoperative blood loss,postoperative exhaust time,postoperative hospital stay,and postoperative incision infection between the two groups(P<0.05).(3)Pregnancy and recurrence outcomes after different surgical procedures:The postoperative follow-up rate was 91.2%(52/57),and median follow-up time was 14 months(6～36 months).There were 17 cases of natural conception in the laparoscopic group,2 cases of successful conservative treatment for ectopic pregnancy,2 cases of in vitro fertilization embryo transfer(IVF-ET)conception,and 3 cases of natural miscarriage.Seven patients were found to have cystic masses in the adnexal region during follow-up of 6 to 24 months after surgery,and two patients underwent cystectomy again.12 cases without fertility requirements were under followed up.Three cases were lost to follow-up.In the open abdominal group,3 cases became naturally pregnant,13 cases had no fertility requirements during follow-up,and 2 cases were lost to follow-up.Conclusion The clinical manifestations of patients with ruptured ovarian endometriotic cysts combined with infection lack specificity.Laparoscopic surgery is superior to open surgery.
Keywords：ovarian endometriosisruptureinfectiontreatment
Publication Date：2024-02-20
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 20-24 )