摘要:目的:探討盆腔膿腫的臨床表現(xiàn),超聲診斷結(jié)果及手術(shù)探查情況以提高診療水平。方法:對(duì)2000年1月~2006年12月我科收治的25 例手術(shù)治療的盆腔膿腫病例進(jìn)行回顧性分析。結(jié)果：其臨床表現(xiàn)主要為腹痛、發(fā)熱、腹部或盆腔包塊等。超聲聲像顯示:盆腔內(nèi)不規(guī)則囊性或多房性輸卵管卵巢腫塊,囊內(nèi)不均質(zhì)光點(diǎn),伴有或不伴有盆腔積液。手術(shù)探查表現(xiàn)為:盆腔粘連,一側(cè)或雙側(cè)輸卵管膿腫或輸卵管卵巢膿腫。結(jié)論:盆腔膿腫的臨床表現(xiàn)不典型,術(shù)前易出現(xiàn)誤診和漏診;隨著病情的變化,結(jié)合臨床表現(xiàn)、 陽(yáng)性體征的發(fā)現(xiàn)及超聲診斷可以提高其檢測(cè)率。
Abstract: Objective: To explore the clinical symptoms, ultrasonography diagnosis results and surgical treatment results of pelvic abscess, thus to raise the diagnosing standard and treatment level from Jan.2000 to Dec. 2006. Methods: Carries on the review analysis to 25 example feminine pelvic abscess patient’s clinical diagnosis material. Results: The principal clinical symptoms of pelvic abscess are abdominal pain and fever,tissue mass is palpated in the abdomen or pelvic cavity and is detected. Sonographic appearance of the pelvis demonstrated irregular, uniloculated or multiseptated cystic tuboovarian mass with nonhomogenic internal echoes, with or without pelvic fluid collection. Surgical results showed some adhesions in pelvis, uniorbilateral pyosalpinx or tuboovarian complex abscess. Conclusion: The pelvic abscess displays not typically,,there is a comparatively high rate of misdiagnosis and missed diagnosis before the surgical treatment.The rate of missed diagnosis is by mistake high.Unifies the clinical symptoms,the masculine symptom, the auxiliary inspection and the guidance of ultrasound,may raise the diagnosis rate of accuracy.

引用本文： 李濤,蔡春華. 手術(shù)治療盆腔膿腫25例治療臨床分析. 華西醫(yī)學(xué), 2009, 24(11): 2885-2887. doi: 復(fù)制