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比较198g.2~1991.6间因月经过多而行宫腔镜下手术治疗两组患者的术后感染及抗生素预防作用:第一组200例未行预防性抗生素治疗,有4例病人(2%)有盆腔炎(PID)史。第二组500例从昆布条插入开始使用预防性抗生素(强力霉素200mg,2/日)并连用至术后5天。10例(2%)有PID史。 两组均用山梨醇膨宫行宫腔镜手术。术前4~16小时放置昆布条。 手术性宫腔镜后发生输卵管卵巢脓肿(TOA)的3例均在未用预防性抗生素组。
Comparing the postoperative infection and antibiotic prophylaxis of hysteroscopic surgery between 198g.2 ~ 1991.6 in the two groups because of menorrhagia: the first group of 200 patients were not treated with prophylactic antibiotics, and 4 patients (2% Have pelvic inflammatory disease (PID) history. The second group of 500 patients started with the use of a prophylactic antibiotic (doxycycline 200 mg, 2 / day) from kelp insertion and up to 5 days after surgery. 10 cases (2%) had PID history. Both groups were treated with sorbitol hysteroscopy hysteroscopy. Preoperative 4 to 16 hours to place kelp strips. Three cases of tubal ovarian abscess (TOA) after surgical hysteroscopy were in the group without preventive antibiotics.