论文部分内容阅读
目的探讨卵巢子宫内膜异位囊肿继发感染的临床表现、诊断方法及处理原则。方法对1990年1月至1996年12月协和医院收治的13例卵巢子宫内膜异*位囊肿继发感染患者的临床资料进行了回顾性的分析,其诊断均经手术、病理检查证实。结果临床表现可分为急性型、亚急性型、慢性型、隐匿型和稳定型5种类型。临床腹痛、发热、附件包块三联征结合超声检查,包块穿刺抽出巧克力样脓液即可明确诊断。手术是主要的治疗方法。结论卵巢子宫内膜异位囊肿继发感染是妇科的急腹症之一,应加强认识,正确诊断,及处理。
Objective To investigate the clinical manifestations, diagnosis and treatment of secondary infection of ovarian endometriotic cysts. Methods The clinical data of 13 patients with secondary infection of ovarian endometriosis with cysts from January 1990 to December 1996 in Peking Union Medical College Hospital were retrospectively analyzed. The diagnosis was confirmed by operation and pathological examination. Results Clinical manifestations can be divided into acute type, subacute type, chronic type, occult type and stable type 5 types. Clinical abdominal pain, fever, trimester Annex mass with ultrasonography, mass pus out of chocolate-like pus can be a clear diagnosis. Surgery is the main treatment. Conclusions Secondary infection of ovarian endometriosis cyst is one of the gynecological acute abdomen diseases. Awareness, correct diagnosis and treatment should be strengthened.