慢性盆腔炎-输卵管积脓38例诊治分析.pdfVIP

实用医学进修杂志 2007年第35卷第4期 JOURNAL OF PRACnCAL TRAINING OF MEDICINE Vok35 NA4 Dee．2007 · 236· 慢性盆腔炎一输卵管积脓38例诊治分析 桑晓梅 钱 碌 四川省泸州市人民医院妇产科(646000) 摘 要 目的：探讨慢性盆腔炎一输卵管积脓的临床特点，提高诊断率。方法：回顾 分析38例慢性盆腔炎输卵管积脓患者的病史、临床表现及诊治经过。结果：术前确诊18 例，术前诊断率为47．4％。子宫次全切加双侧附件切除8例，子宫次全切加双侧输卵管 病灶切除6例，单纯输卵管病灶切除24例。结论：慢性盆腔炎一输卵管积脓临床表现多 样化，需详细询问病史、查体、结合B超提高诊断准确率，腹腔镜检查是确诊的一个有效 方法。手术治疗应根据患者年龄、对生育的要求决定手术范围。 关键词 慢性盆腔炎；输卵管积脓；诊断率；治疗 Diagnosis and Treatment in 3 8 Cases of Chronic Pelvic Inflammatory Disease and Pyosalpinx Sang Xiaomei Qian Jin Department of Gynaecology and Obstetrics， People’S Hospital of Luzhou，Luzhou 646000，China Abstract Objective：Investigating the clinical feature of chronic pelvic in— flammatory disease— pyosalpinx，raising a diagnosis rate．Methods：To review and analysis patient history，clinical situation and process of treatment of 3 8 cases chronic pelvic inflammatory disease and pyosalpinx．Results： 1 8 patients had been examined definitely before the surgical operation，the frequency of preopera— tive diagnosis was 4 7．4％ ．8 among them had been ca~ied on subtotal hysterecto— my and both adnexectomy，6 among them had been carried on subtotal hysterecto— my and both uterine tube exsect，24 among them had been carried on simple uter． ine tube exsect．Conclusions：Clinical mani~station of chronic pelvic inflammato． ry disease and pyosalpinx is diverse，need detailed inquire a disease history，body examination，type—B ultrasonic．Abdominoscopy check is a valid method that ex． amines a patient definitely．The operation treatment should accord with suffererS age，breeding wishes to decide surgical operation scope． Key words chronic pelvic inflammatory disease；pyosalpinx；frequency of 作者简介：桑晓梅(1966一)，女，副主任医