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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:回顾性分析12例宫腔积脓患者的临床资料。结果:经阴道宫腔放置Folly氏双腔导尿管引流及宫腔冲洗,同时静脉应用抗生素治疗,11例痊愈出院,随访1年9例,无复发病例;1例经保守及联合手术治疗后痊愈。结论:根据临床症状、体征及辅助检查可明确诊断;单纯宫腔积脓保守治疗可达到治愈目的;加强卫生宣教,提高自身免疫力可防止本病发生。
Objective: To investigate the diagnosis and treatment of postpartum female uterine empyema. Methods: Retrospective analysis of 12 cases of uterine empyema clinical data. Results: The vaginal uterine cavity was placed Folly double-lumen catheter drainage and uterine flushing, while intravenous antibiotics, 11 patients were discharged, followed up for 1 year in 9 cases, no recurrence; 1 case after conservative and combined surgery get well. Conclusions: According to clinical symptoms, signs and auxiliary examination can confirm the diagnosis; conservative treatment of uterine empyema can achieve the purpose of cure; strengthen health education, improve their immunity can prevent the occurrence of this disease.