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目的探讨绝经后女性宫腔积脓的诊断及治疗方法。方法对2000年1月～2007年12月年收治的21例宫腔积脓,对其发病特点,诊治方法加以分析总结。结果21例宫腔积脓有3例误诊为卵巢囊肿,2例误诊为盆腔脓肿(子宫外),开腹手术治疗9例,“经阴道宫颈扩张引流+宫腔冲洗术”治疗l2例,21例均痊愈出院。结论绝经后宫腔积脓发病隐匿,易误诊;经阴道超声检查对该病的诊断有重要价值;治疗应个体化,加强卫生宣教,提高自身免疫力等措施可防止该病发生。
Objective To investigate the diagnosis and treatment of posterior uterus empyema. Methods From January 2000 to December 2007, 21 cases of empyema were treated, and their characteristics of onset and diagnosis and treatment were analyzed and summarized. Results 21 cases of uterine empyema were misdiagnosed as ovarian cyst in 3 cases, 2 cases misdiagnosed as pelvic abscess (extrauterine), open surgery in 9 cases, “transvaginal cervical dilatation and drainage + uterine flushing” treatment of l2 cases , 21 cases were cured and discharged. Conclusions The pathogenesis of postpartum uterine empyema is hidden and easily misdiagnosed. Transvaginal ultrasonography is of great value in the diagnosis of the disease. The treatment should be individualized, and health education should be strengthened to improve its immunity so as to prevent the disease from happening.