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目的:对绝经期妇女宫腔积脓进行临床分析,探讨临床症状、治疗以及预防措施。方法:回顾性选择2011.1-2015.12月在我院门诊及住院进行治疗的绝经期妇女宫腔积脓患者20例,对其临床资料进行分析研究。结果:20例患者全部行B超检查,18例确诊为宫腔积脓,2例因宫腔内积脓太多被误诊为卵巢囊肿。经保守治疗后全部治愈出院,有1例在出院后两月复发,其余19例复查完全康复,未见异常,总体治愈率为95%。结论:绝经期妇女宫腔积脓症状不典型,易误诊而耽误治疗时机。及时接受治疗者效果明显,预后较好,若治疗不及时,可能发生子宫穿孔、弥漫性腹膜炎等。可以借助阴道B超确定对宫腔积脓的诊断。
Objective: To analyze clinical symptoms, treatment and preventive measures of empyema in postmenopausal women. Methods: Twenty patients with posterior uterine empyema in our hospital from January 2011 to December 2015 were selected retrospectively. Their clinical data were analyzed. Results: Twenty patients underwent B-mode ultrasound examination, 18 cases were diagnosed as uterine empyema, and 2 cases were misdiagnosed as ovarian cysts due to too many intrauterine emphysema. After conservative treatment, all patients were cured and discharged. One case was relapsed in two months after discharge and the remaining 19 cases were completely recovered without any abnormality. The overall cure rate was 95%. Conclusions: The symptoms of uterine empyema in menopausal women are not typical, and are easily misdiagnosed and delayed the timing of treatment. Timely treatment effect is obvious, the prognosis is good, if the treatment is not timely, uterine perforation may occur, diffuse peritonitis and so on. B-vagina can determine the diagnosis of uterine empyema.