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目的:探讨盆腔脓肿的临床表现,超声诊断结果及手术探查情况以提高诊疗水平。方法:对2000年1月～2006年12月我科收治的25例手术治疗的盆腔脓肿病例进行回顾性分析。结果:其临床表现主要为腹痛、发热、腹部或盆腔包块等。超声声像显示:盆腔内不规则囊性或多房性输卵管卵巢肿块,囊内不均质光点,伴有或不伴有盆腔积液。手术探查表现为:盆腔粘连,一侧或双侧输卵管脓肿或输卵管卵巢脓肿。结论:盆腔脓肿的临床表现不典型,术前易出现误诊和漏诊;随着病情的变化,结合临床表现、阳性体征的发现及超声诊断可以提高其检测率。
Objective: To investigate the clinical manifestations of pelvic abscess, ultrasonic diagnosis and surgical exploration to improve the diagnosis and treatment. Methods: The clinical data of 25 cases of pelvic abscess treated in our department from January 2000 to December 2006 were analyzed retrospectively. Results: The main clinical manifestations of abdominal pain, fever, abdominal or pelvic mass. Ultrasonography showed: pelvic irregular cystic or multilocular tubal ovarian mass, intracapsular heterogeneous light spots, with or without pelvic fluid. Surgical exploration showed: pelvic adhesions, tubal abscess or tubal ovarian abscess. Conclusion: The clinical manifestations of pelvic abscess are not typical, preoperative misdiagnosis and missed diagnosis; with the changes of the disease, combined with clinical manifestations, the detection of positive signs and ultrasound can increase the detection rate.