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绝经后宫腔积脓的诊断与治疗
http://www.100md.com 《中华现代妇产科学杂志》 2006年第7期
绝经后期;宫腔积脓,,],绝经后期;宫腔积脓,[摘要],[关键词],1临床资料,2结果,3讨论,[参考文献]
     [摘要] 目的 探讨绝经后女性宫腔积脓的诊断及治疗方法。方法 回顾性分析大同市第一人民医院1998~2005年收治的23例宫腔积脓患者,对其发病特点,诊治方法加以分析总结。结果 23例宫腔积脓有4例误诊为卵巢囊肿,2例误诊为盆腔脓肿(子宫外),误诊率26.1%。开腹手术治疗10例,经阴道宫颈扩张引流+宫腔冲洗术治疗13例,23例均痊愈出院。1例复发,5例失访。结论 绝经后宫腔积脓发病隐匿,易误诊。经阴道超声检查对本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本病发生。

    [关键词] 绝经后期;宫腔积脓

    Diagnosis and therapy of post-menopausal pyometra

    WANG Xing-wang,LI Ya-li,ZOU Jie.Department of Gynecology,The First People’s Hopsital of Datong,Datong 037004,China

    [Abstract] Objective To explore the diagnosis and therapy of post-menopausal pyometra.Methods Retrospective analysis on 23 cases of postmenopausal pyometra which hospitalized at the First People’s Hospital of Datong in 1998~2005 was carried out to summarize and analyze the morbidity and method of diagnosis.Results Four cases were misdiagnosed as ovarian cyst in 23 cases of pyometra ......

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