XỬ TRÍ VỠ NANG CƠ NĂNG BUỒNG TRỨNG CHẢY MÁU TRONG Ổ BỤNG TẠI BỆNH VIỆN THANH NHÀN TỪ NĂM 2018-2023

Abstract

Objective: "Review the results of surgical and conservative medical treatment of functional ovarian cyst rupture with hemoperitoneum at Thanh Nhan Hospital". Subjects and methods: This is a retrospective descriptive study including 69 patients diagnosed with functional ovarian cyst rupture with hemoperitoneum at Thanh Nhan Hospital from January 2018 to June 2023; surgical intervention was performed when follow-up showed symptoms of increased abdominal pain, shock, blood pressure <90/60, acute abdomen symptom; conservative medical management when follow-up no above symptoms occur and abdominal pain tended to decrease. Study results: 37.7% (26/69) patients had successful laparoscopic surgery, 92.3% had early surgery ≤24h; 100% (26/26) ovarian coagulation homeostasis, fluid blood and clot removal: 200-500 ml: 26.9%; >500-1000 ml: 53.8%; >1000 ml: 11.4%; blood transfusion: 30.8% (8/26); no complications during surgery. 62.3% (43/69) conservative medical management was successfully treated with transamin and intravenous fluid perfusion, and the hospital stay was 5-7 days. Conclusion: The choice of surgical treatment of functional ovarian cyst rupture with hemoperitoneum or conservative medical management depends on the state of shock, abdominal pain and the progression of bleeding symptoms in.