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目的分析65岁以上的老年期妇女子宫积脓的原因,探讨老年期妇女子宫积脓的诊断及治疗。方法对莒南县人民医院近5年来收治的23例老年妇女子宫积脓的临床表现、辅助检查、诊疗经过进行回顾性分析。结果 23例患者误诊5例,误诊率为21.7%,其中3例子宫穿孔均误诊。16例确诊后行保守治疗治愈。结论老年妇女子宫积脓病程进展缓慢,临床症状表现不典型,易误诊。宫腔探测术有确诊价值,宫腔引流术效果良好。
Objective To analyze the causes of uterine empyema in senile women over the age of 65 and to explore the diagnosis and treatment of pyometra in the elderly women. Methods The clinical manifestations, auxiliary examinations and diagnosis and treatment of 23 cases of uterine empyema in 23 elderly women admitted to Junan County People’s Hospital in the recent 5 years were retrospectively analyzed. Results Twenty-three patients were misdiagnosed as 5 cases, with a misdiagnosis rate of 21.7%. Three cases of uterine perforation were misdiagnosed. 16 cases were diagnosed conservative treatment of cure. Conclusion The progression of uterine empyema in elderly women is slow and the clinical manifestations are not typical and easily misdiagnosed. Uterine cavity exploration has the value of diagnosis, uterine drainage is effective.