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盆腔脓肿18例临床分析

Clinical Analysis of 18 Cases of Pelvic Abscess

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【作者】 刘丽江

【Author】 Liu Lijiang(Department of Gynecology and Obstetrics,Tongji Hospital,Tongji Medical University,Wuhan 430030)

【机构】 同济医科大学附属同济医院妇产科

【摘要】 本文通过对18例盆腔脓肿的回顾分析,发现盆腔脓肿的临床表现复杂多样,又无特异性,因而容易误诊。18例中入院时仅有6例诊断为盆腔脓肿,确诊率为33.33%。B超和血沉检查可提高诊断准确率。腹腔镜在诊断和治疗方面具有一定的优势,可早期诊断,及时治疗。治疗原则为控制感染,恢复生育功能,防止复发。目前仍以手术治疗为主,疾病早期可采用抗生素保守治疗。

【Abstract】 cases of pelvic abscess were analyzed retrospectively in this article.The clinical manifestations of pelvic abscess were complex,miscellaneous and nonspecific,which contribute to frequent misdiagnosis.6 of the 18 cases were diagnosed as pelvic abscess after admission and the diagnosis rate was only 33.33 percent.Ultrasonography and ESR could increase the accuracy of diagnosis,Laparoscopy had certain advantages in early diagnosis and prompt treatment.The principles of treatment were to control infection,regain reproductive function,and prevent recurrence.Surgery was currently the main treatment,antibiotics could be used for conservative treatment in early stage of the disease.

【关键词】 脓肿子宫附件炎超声诊断
【Key words】 pelvic abscessadnexitisultrasonic diagnosis
  • 【文献出处】 同济医科大学学报 ,ACTAUNIVERSITATIS MEDICTNAE TANGJI , 编辑部邮箱 ,1995年03期
  • 【分类号】R711.33
  • 【被引频次】6
  • 【下载频次】34
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