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目的分析绝经后妇女宫腔积脓的治疗方法。方法回顾性分析41例绝经老年妇女宫腔积脓患者的临床资料,分析其病情特点与治疗方法。结果 41例患者中接受手术治疗者13例,接受保守治疗者28例,经过相应的治疗后,所有患者均痊愈出院,平均住院时间(9.3±1.6)d。随访3个月后,未见异常或复发患者。结论绝经后老年妇女宫腔积脓的临床症状并不典型,超声检查对此疾病的诊断具有极为重要的意义。治疗时要根据患者的实际情况合理选择保守治疗或手术治疗,以提高治疗效果,改善预后。
Objective To analyze the treatment of posterior uterine empyema in postmenopausal women. Methods A retrospective analysis of 41 cases of postmenopausal women with uterine empyema clinical data, analysis of its disease characteristics and treatment. Results Thirty-one patients were surgically treated in the study. Of the 41 patients who underwent conservative treatment, 28 received conservative treatment. All patients were cured and discharged with an average length of hospital stay of 9.3 ± 1.6 days. After 3 months of follow-up, no abnormal or recurrent patients were found. Conclusion Clinical manifestations of posterior uterine empyema in elderly postmenopausal women are not typical. Ultrasonography is extremely important for the diagnosis of this disease. Treatment should be based on the actual situation of patients with a reasonable choice of conservative treatment or surgical treatment to improve the therapeutic effect and improve the prognosis.