acute pelvic inflammatory disease of the analysis of the line appendectomy（急性盆腔炎的分析行阑尾切除术）.docVIP

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acute pelvic inflammatory disease of the analysis of the line appendectomy（急性盆腔炎的分析行阑尾切除术）.doc

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acute pelvic inflammatory disease of the analysis of the line appendectomy（急性盆腔炎的分析行阑尾切除术）

Acute pelvic inflammatory disease of the Analysis of the line appendectomy Acute pelvic inflammatory disease in the clinical differential diagnosis of acute appendicitis is sometimes difficult, especially at times when the conservative treatment condition did not improve, further increasing abdominal signs, laparotomy will make the decision, from the January 2003 - January 2006 month were treated within 4 years of such patients in 26 cases, of which the following analysis of the causes. 1 General Information All were female, aged 18 to 43 years of age, clinical manifestations are abdominal pain and 100% (lower abdominal pain, abdominal pain or right lower abdominal pain the whole), fever, increased vaginal discharge, signs on the following main abdominal tenderness and rebound tenderness, especially on the right the lower abdomen, accounting for 100%, time from onset to surgery was 24 to 72 hours after admission directly to surgery in 19 cases, accounting for 73.1%, observed by the infusion after surgery in 7 cases, 22.9%. 2 results of surgical exploration Exploratory surgery were examined by the right lower quadrant incision, intraoperative findings of whole abdominal empyema in 3 cases, 11.5%; pelvic empyema in 26 cases, 100% bilateral annex purulent in 20 cases, 76.9%; the right accessories purulent in 6 cases, accounting for 23.1%; All patients underwent appendectomy, local pus cleaning. there is a case purple-brown necrosis of the right accessories, the line right oophorectomy. 3 Treatment outcome All patients treated by surgery and postoperative anti-inflammatory, both at 7 to 10 days after discharge, wound a healing abdominal pus bacterial culture: positive in 20 cases, 76.9%, negative in 6 cases, accounting for 23.1%. 4 Discussion Pelvic inflammatory disease is a common gynecological disease, that female genital mutilation within and around the connective tissue, the general term for inflammation of the pelvic peritoneum.