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资料和方法 1 病例选择 182例慢性盆腔炎患者均选自本院妇科门诊,既往无肾病史,无输卵管绝育史。年龄27～48岁,平均33岁。病程3～18年,平均6年。全部病例均有程度不等的腰腹部坠痛、痛经、月经紊乱、白带增多等;子宫增大,后位或偏移,活动受限,有压痛;附件增厚,有压痛,卵巢略增大,主韧带及骶骨韧带增厚、压痛等症状及体征。其中3例妇科检查及B超检查宫旁一侧或双侧有不规则固定的炎性包块。7例有不孕病史,经子宫输卵管碘油造影,证实为双侧输卵管不通。 2 方法 选用庆大霉素16万U/次,灭滴灵注射液100mg/次,地塞米松5mg/次,联合用药。于月经干净后第3天,常规外阴、阴道消毒,经子宫造影双腔管宫腔注射给药,每日1次,连续
Materials and Methods 1 Case Selection 182 cases of patients with chronic pelvic inflammatory disease were selected from our hospital gynecological clinic, no history of renal disease, no history of tubal sterilization. Aged 27 to 48 years old, with an average of 33 years old. Course of 3 to 18 years, an average of 6 years. All cases were varying degrees of falling waist and abdomen pain, dysmenorrhea, menstrual disorders, leucorrhea increased; uterus increased, posterior position or offset, limited mobility, tenderness; attachment thickening, tenderness, slightly increased ovarian , The main ligament and sacral ligament thickening, tenderness and other symptoms and signs. Of which 3 cases of gynecological examination and B-ultrasound on the side of the uterus or bilateral irregular fixed inflammatory mass. 7 cases of history of infertility, the hysterosalpingography, confirmed as bilateral tubal barrier. 2 Methods Gentamicin 160,000 U / time, metronidazole injection 100mg / time, dexamethasone 5mg / time, combined with medication. On the 3rd day after menstruation was clean, the conventional vulva and vagina were disinfected and administered by uterine double lumen intrauterine injection once a day for continuous