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目的:探讨西宁地区绝经妇女宫腔积脓的病因、诊断、治疗及预防措施。方法:对近10年来我院收住的绝经妇女宫腔积脓97例患者进行诊断和治疗,并分析原因,提出预防措施。结果:97例患者均明确诊断,其中合并生殖系统炎症的66例,生殖器肿瘤5例;3例发生子宫穿孔,其中1例并发脓毒血症。89例患者行宫腔引流,3例患者行子宫切除术,均已治愈。结论:由于卫生条件差,早婚早育,多产等原因,分析西宁地区绝经妇女宫腔积脓的病因主要为感染、激素水平下降、免疫力降低。定期体检,及时明确诊断,加强卫生宣教,提高自身免疫力等措施可防止该病发生。
Objective: To investigate the etiology, diagnosis, treatment and prevention of empyema in postmenopausal women in Xining area. Methods: 97 cases of posterior uterus empyema admitted to our hospital in the past 10 years were diagnosed and treated, and their causes were analyzed. Preventive measures were put forward. Results: All of the 97 patients were diagnosed correctly. Among them, 66 cases were complicated with reproductive system inflammation and 5 cases were genital tumors. 3 cases had uterine perforation, of which 1 case was complicated by sepsis. 89 patients underwent uterine drainage, 3 patients underwent hysterectomy, have been cured. Conclusion: Due to poor sanitation, early marriage and early childbirth, prolific fertility and other reasons, the etiological factors of empyema in postmenopausal women in Xining are mainly infected, the level of hormones is decreased and the immunity is decreased. Regular physical examination, timely and clear diagnosis, strengthen health education, improve their immunity and other measures to prevent the disease.