【摘要】 目的探讨盆腔脓肿的临床特点及误诊原因。方法对69例盆腔脓肿的临床特点及误诊原因进行回顾性分析。结果盆腔脓肿临床表现复杂多样,主要表现为反复下腹疼痛、发热畏寒及盆腔包块。患者血清CA125升高(>35 U/ml)32例,阳性率78%(32/41),>300 U/ml 4例。超声检查缺乏特异性,检查准确率为30%;术前诊断准确率为42%。结论盆腔脓肿术前误诊率较高,临床表现结合血清CA125等实验室检查及超声检查综合分析可提高诊断准确率。更多还原

【Abstract】 Objective To analyze the clinical characteristics and misdiagnosis of pelvic abscesses.Methods Retrospective study of 69 patients operated in our hospital was performed to evaluate the clinical characteristics and misdiagnosis of the pelvic abscesses.Results The clinical characteristics of pelvic abscesses were not specific,and the main symptoms and signs were repeated lower-abdominal pain,fever,chill and pelvic masses.The serum CA125 level elevated(greater than 35U/ml) in 78%.The ultrasonographic findings of pelvic abscesses were not specific.The accurate rate of ultrasonographic diagnosis was 30%.The accurate rate of preoperative diagnosis was 42%.Conclusion The misdiagnosis of pelvic abscesses was high.The clinical parameters combined with serum CA125 and US investigation can improve the accurate diagnosis rate.更多还原