Acute pelvic inflammatory disease-line analysis of 26 cases appendectomy.docVIP

 PAGE \* MERGEFORMAT 5 Acute pelvic inflammatory disease-line analysis of 26 cases appendectomy Acute pelvic inflammatory disease in the clinical differential diagnosis of acute appendicitis is sometimes difficult, especially at times when the conservative treatment of illness did not improve and further aggravate the signs of the abdomen, it will make a decision laparotomy, we learned from January 2003 to 2006 a the 4-year period on a total of 26 cases treated in such patients, the reason of which the following analysis. 1 General Information All of them are female, aged 18 to 43 years old, main clinical manifestations are abdominal pain 100% (lower abdominal pain, the whole right lower abdominal pain or abdominal pain), fever, leucorrhea increased, signs on the following main abdominal tenderness rebound tenderness, especially on the right the lower abdomen, accounting for 100%, the incidence to the operation time was 24 to 72 hours, admitted to hospital directly after surgery in 19 cases, accounting for 73.1%, after infusion observed after surgery in 7 cases, accounting for 22.9%. 2 the results of surgical exploration Exploratory surgery were examined by the right lower quadrant incision, all abdominal surgery was found three cases of empyema, accounting for 11.5%; Pelvic empyema in 26 cases, 100%. Bilateral attachment suppuration in 20 cases, accounting for 76.9%; the right side of the annex to suppuration in 6 cases, accounting for 23.1%; All patients underwent appendectomy, partial pus cleaning. Only one patient showed necrosis of the right side of the annex to purple-brown, line removal of the right side of the annex. 3 Treatment outcome All patients after surgery and postoperative anti-inflammatory treatment, are 7 to 10 days after operation and discharged from a healing incision. Abdominal pus bacterial culture: positive in 20 cases, accounting for 76.9%, negative in 6 cases, accounting for 23.1%. 4 Discussion Pelvic inflammatory disease is a