【摘要】 目的:探讨急性化脓性输卵管炎的临床特点,提高本病的正确诊断率。方法:回顾性分析6例急性化脓性输卵管炎患者的临床资料,分析其病史、临床表现、体征、术前和术后诊断及治疗方法。结果:6例患者均以腹痛为首发症状,5例疼痛部位为右下腹,1例呈持续性全腹部疼痛。术前诊断为急性阑尾炎5例,腹痛待查(消化道穿孔)1例。术后均确诊急性化脓性输卵管炎,伴输卵管积脓2例。所有患者均经开腹手术治疗,术后联合应用抗生素,恢复良好并痊愈出院。结论:急性化脓性输卵管炎患者多有腹痛和消化道症状,临床表现缺乏特异性,误诊率高。提高对本病的认识和警惕性将有助提高本病的正确诊断率。更多还原

【Abstract】 Objective: To investigate the clinical characters of acute salpingitis patients with gynecologic acute abdomen. Methods: The clinical data of 6 cases of acute salpingitis with acute abdomen were retrospectively analyzed. Medical history, clinical symptoms, pre-operation diagnosis, post-operation diagnosis and treatment were analyzed. Results: Acute salpingitis was usually found in the reproductive females. The symptoms of abdominal pain, nausea, vomiting, and fever were usually found in the acute salpingitis cases which lead to misdiagnosis in some patients. All patients received surgical treatment and were discharged from the hospital after their recovery. Conclusion: The etiology and clinical features of acute salpingitis are complicated and lack of specificity. The rate of misdiagnosis is rather high in clinical. Early diagnosis and proper treatment are the key measures in raising the curative effect.更多还原