The aim of the study was to determine the risk factors for surgery in patients with hemoperitoneum caused by corpus luteum cyst rupture. A retrospective review of medical records of 155 patients diagnosed with hemoperitoneum caused by corpus luteum cyst rupture was conducted between January 2010 and March 2015. The patients were divided into two groups: surgical and conservative management. The differences in characteristics between the two groups were compared. The indicators that determine the need of a surgery at the initial visit were also compared between the two groups. Initial hemoglobin level was lower (11.3 ± 1.4 g/dL vs. 12.2 ± 1.2 g/dL; p = 0.007) in the surgery group. There were significant differences in posterior cul-de-sac (PCDS) fluid collection depth (6.2 ± 2.5 cm vs. 4.5 ± 1.6 cm, p = 0.000), total fluid collection depth (8.4 ± 1.8 cm vs. 6.5 ± 2.1 cm, p = 0.000), single deepest pocket depth (6.7 ± 2.2 cm vs. 5.1 ± 1.5 cm, p = 0.006), liver-dome fluid (78.9% vs. 35.6%; p = 0.002), and estimated intrapelvic bleeding amount (325 ± 250 cc vs. 206 ± 146.5 cc, p = 0.002). The extravasation over grade 2 was more often in surgery group (68.4% vs. 30.1%; p = 0.001). PCDS fluid collection depth, the presence of liver-dome fluid, and the severity of contrast extravasation through ultrasonography and computed tomography are good indicators for determining the management of hemoperitoneum resulting from corpus luteum cyst rupture in healthy women.

本研究的目的是确定黄体囊肿破裂引起的腹腔积血患者手术的危险因素。回顾性分析2010年1月至2015年3月期间诊断为黄体囊肿破裂致腹腔积血的155例患者的病历，将患者分为手术组和保守组两组。比较两组之间的特征差异。还比较了两组在初次就诊时确定是否需要手术的指标。 手术组的初始血红蛋白水平较低（11.3 ± 1.4 g/dL vs. 12.2 ± 1.2 g/dL；p = 0.007）。后死胡同 (PCDS) 液体收集深度存在显着差异（6.2 ± 2.5 cm 与 4.5 ± 1.6 cm，p  = 0.000)，总液体收集深度（8.4 ± 1.8 cm 与 6.5 ± 2.1 cm，p  = 0.000），单个最深袋深度（6.7 ± 2.2 cm vs. 5.1 ± 1.5 cm，p  = 0.006），肝圆顶液体（78.9% 对 35.6%；p  = 0.002），估计盆腔内出血量（325 ± 250 cc 对 206 ± 146.5 cc，p  = 0.002）。超过 2 级的外渗在手术组中更常见（68.4% 对 30.1%；p  = 0.001）。PCDS 液体收集深度、肝穹窿液的存在以及超声检查和计算机断层扫描造影剂外渗的严重程度是确定健康女性黄体囊肿破裂引起的腹腔积血处理的良好指标。