37例妇女宫腔积脓的临床分析

发布时间：2019-07-27 14:40

【摘要】：目的:探讨妇女宫腔积脓的病因、诊断、治疗及预防。方法:回顾分析哈尔滨医科大学附属第二医院收治的37例宫腔积脓患者的病史、临床表现、辅助检查及诊治情况。结果:宫腔积脓以绝经后老年女性多见,未绝经患者多合并严重的阴道炎症、子宫内膜炎等。37例患者中,手术患者13例,其中合并穿孔感染性腹膜炎及感染性休克患者1例,1例患者术后诊断为宫颈癌,术前诊断明确的子宫恶性肿瘤患者7例,引流失败行全子宫切除3例,子宫脱垂患者1例。宫腔镜及超声引导下置管引流成功10例,宫腔镜下冲洗14例。37例患者均进行对症抗感染治疗,除恶性肿瘤患者,其余均已治愈。结论:宫腔积脓在临床上并不多见,症状不典型,易误诊,可引起严重并发症,应针对病因早期诊断、早期治疗。
[Abstract]:Objective: to investigate the etiology, diagnosis, treatment and prevention of uterine abscess in women. Methods: the history, clinical manifestations, auxiliary examination, diagnosis and treatment of 37 patients with uterine abscess treated in the second affiliated Hospital of Harbin Medical University were analyzed retrospectively. Results: uterine abscess was more common in postmenopausal elderly women, unmenopausal patients were complicated with severe vaginitis, endetritis and so on. Among 37 cases, 13 cases were operated, including 1 case with perforation infectious peritonitis and septic shock, 1 case with cervical cancer diagnosed after operation, 7 cases with uterine malignant tumor diagnosed before operation, 3 cases with drainage failure and 1 case with uterine prolapse. Hysteroscopy and ultrasound guided drainage were successful in 10 cases and irrigation under hysteroscopy in 14 cases. 37 cases were treated with symptomatic anti-infection, except malignant tumor patients, all of them were cured. Conclusion: uterine abscess is rare in clinic, its symptoms are atypical, it is easy to be misdiagnosed, and it can cause serious complications. Early diagnosis and early treatment should be carried out according to the etiology.
【作者单位】：哈尔滨医科大学附属第二医院妇产科;
【基金】：黑龙江省自然科学基金(No:H2013106)
【分类号】：R711.3

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