小结
定义
病史和体格检查
关键诊断因素
- 腹痛
- 恶心、呕吐或腹泻
- 腹部/盆腔压痛
- 可触及的附件肿块
其他诊断因素
- 新生儿喂食不能、呕吐、腹胀及吵闹不安
- 剧烈运动
- 腹膜征
- 宫颈举痛
- 发热
危险因素
- 卵巢肿瘤
- 卵巢囊肿
- 卵巢冠囊肿
- 输卵管积水
- 妊娠
- 不育症治疗
- 剧烈运动
- 腹腔压力突然升高
诊断性检查
首要检查
- 全血细胞计数（FBC
- 妊娠试验
- 带有多普勒血流的经阴道超声
- 腹部超声
- 基因探针或宫颈培养物
- 尿液分析
- 手术所见
需考虑的检查
- 腹部/盆腔 CT
- 腹部/骨盆 MRI
治疗流程
所有患者
撰稿人
作者
Dr Sareena Singh, MD, FACOG
Assistant Professor
Department of Obstetrics and Gynecology
Northeast Ohio Medical University
Rootstown
OH
Chief of Gynecologic Oncology
Aultman Hospital
Canton
OH
利益声明
SS declares that she has no competing interests.
鸣谢
Dr Sareena Singh would like to gratefully acknowledge Dr Michael P. Hopkins, Dr Jay R. Patibandla, Dr John C. Nulsen, and Dr Vanessa N. Weitzman, the previous contributors to this topic.
利益声明
MPH, JRP and JCN declare that they have no competing interests. VNW is an author of a reference cited in this topic.
同行评议者
Adam Magos, BSc, MB, BS, MD, FRCOG
Consultant Gynaecologist
University Department of Obstetrics and Gynaecology
Royal Free Hospital
London
UK
利益声明
AM declares that he has no competing interests.
Joseph Sanfilippo, MD, MBA
Professor
Department of Obstetrics
Gynecology and Reproductive Sciences
Vice Chairman
Reproductive Sciences
Director
Division of Reproductive Endocrinology and Infertility
University of Pittsburgh
Pittsburgh
PA
利益声明
JS declares that he has no competing interests.
Howard Sharp, MD
Associate Professor and Chief
General Division of Obstetrics and Gynecology
University of Utah School of Medicine
Salt Lake City
UT
利益声明
HS has been reimbursed for attending and participating in conferences on pelvic varicosity pain syndrome by Cook Inc.
鉴别诊断
- 异位妊娠
- 盆腔炎性疾病 (pelvic inflammatory disease, PID)
- 阑尾炎
更多 鉴别诊断指南
- 青少年附件扭转
- 儿童、青少年卵巢囊肿管理指南
更多 指南
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