【摘要】 目的 了解黄体破裂的发病原因、临床表现、诊断及治疗。 方法 对80例黄体破裂的发病诱因、临床表现、诊断和治疗方法进行分析。 结果 黄体破裂多发生于月经周期第14～39天，与腹腔压力增高有一定关系。最常见临床症状为腹痛伴肛门坠胀感，妇科检查、B超、后穹隆穿刺、血β-HCG检查对诊断和鉴别诊断起着很重要的作用。根据病情轻重可选择保守治疗和手术治疗，手术治疗又以腹腔镜为首选。 结论 黄体破裂的诊断除临床症状外，还应考虑与月经周期关系，必要的辅助检查，如B超、β-HCG、后穹隆穿刺，可以增加确诊率。重症患者以腹腔镜手术为宜，轻者可保守治疗。

    关键词 黄体破裂 卵巢

    【Abstract】 Objective To study the etiology，clinical presentation，diagnoses and treatment of corpus luteum rupture.Methods The inducement，clinical presentation，diagnoses and treatment methods of80cases of corp lu-teum rupture were analysed.Results Corpus luteum rupture most commonly occurs in the14～39th of menstrual cy-cle，there are some relationship with augmentation of celiac pressure.The patient often presents with abdomen pain and anus，expanding feeling.Moreover，it is important for dignoses and differentials to do gynecologic examination，ultrasonic B，culdocentesis and bloodβ-HCG test.Conservative and surgical therapy can be chosen depending on state of an illness ......