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目的:探讨盆腔脓肿的临床表现、诊断方法和治疗方法。方法:对近期我院收治的53例盆腔脓肿患者的临床资料进行回顾性研究。结果:这53例患者在入院时,有36例患者被诊断为患有盆腔脓肿,诊断率为67.9%,有17例患者被误诊,误诊率为32.1%。在这53例患者中,有45例患者在进行联用抗生素治疗后临床症状得到缓解,有8例患者在进行联用抗生素治疗效果较差的情况下,进行了手术治疗。结论:盆腔脓肿是一种误诊率较高的疾病。临床医生应综合MRI的检查结果和患者的临床症状来诊断此病。此病患者在得到确诊后,应尽早使用联用抗生素的方法进行治疗。对使用联用抗生素法治疗无效或出现脓肿破裂的患者,应及时对其进行手术治疗。
Objective: To investigate the clinical manifestations, diagnosis and treatment of pelvic abscess. Methods: The clinical data of 53 patients with pelvic abscess treated in our hospital were retrospectively studied. RESULTS: Thirty-three patients were diagnosed as having pelvic abscess at admission with a diagnosis rate of 67.9%. Seventeen patients were misdiagnosed with a misdiagnosis rate of 32.1%. Of the 53 patients, 45 were relieved of clinical symptoms after antibiotic treatment, and 8 were treated surgically with poor antibiotic therapy. Conclusions Pelvic abscess is a disease with a high rate of misdiagnosis. Clinicians should diagnose the disease by combining MRI findings with the patient’s clinical symptoms. After the patient is diagnosed, patients should be treated with antibiotics as soon as possible. The use of combined antibiotic therapy ineffective or abscess patients should be timely surgical treatment.