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目的:分析高原地区妇女子宫积脓的原因、诊断及治疗。方法:对我院近10年来收治的12例妇女子宫积脓的临床表现、辅助检查、诊疗经过进行分析。结果:12例患者中3例被误诊,误诊为急性盆腔炎1例;消化道穿孔2例,误诊率为25.0%。9例确诊后行保守治疗治愈。结论:高原地区妇女子宫积脓病程进展缓慢,临床症状表现不典型,易误诊。宫腔探测术、宫腔镜检查术有确诊价值,宫腔引流术效果良好。
Objective: To analyze the causes, diagnosis and treatment of pyometra in women in plateau areas. Methods: The clinical manifestations, auxiliary examinations and diagnosis and treatment of 12 cases of pyometra were treated in our hospital in the past 10 years. Results: Three of the 12 patients were misdiagnosed as misdiagnosed as acute pelvic inflammatory disease in 1 case. Two cases of digestive tract perforation were found with a misdiagnosis rate of 25.0%. Nine cases were diagnosed conservative treatment of cure. Conclusion: The process of uterine pyometra progression in women in the plateau is slow, the clinical manifestations are not typical and easily misdiagnosed. Uterine exploration, hysteroscopy has the value of diagnosis, uterine drainage is effective.