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目的:探讨盆腔脓肿的临床特点,提高诊断水平。方法:对30例女性盆腔脓肿患者的临床资料进行回顾性分析。结果:临床症状以发热及腹痛为主,腹部或盆腔内可触及包块。血清CA-125升高占53.3%,B超检查发现盆腔包块者占93.3%。术前诊断准确率53.3%,误诊率23.3%,漏诊率3.3%。结论;盆腔脓肿术前误诊率和漏诊率较高,综合临床症状、阳性体征、血清CA-125检测,特别是B超检查结果,可提高诊断的准确率。
Objective: To investigate the clinical features of pelvic abscess and improve the diagnostic level. Methods: The clinical data of 30 patients with pelvic abscess were analyzed retrospectively. Results: The clinical symptoms of fever and abdominal pain, abdominal or pelvic palpable mass. Serum CA-125 increased 53.3%, B-ultrasound found pelvic masses accounted for 93.3%. The accuracy rate of preoperative diagnosis was 53.3%, misdiagnosis rate was 23.3% and misdiagnosis rate was 3.3%. Conclusions The preoperative misdiagnosis rate and misdiagnosis rate of pelvic abscess are high. The comprehensive clinical symptoms, positive signs, serum CA-125 test, especially B-ultrasound examination results can improve the diagnostic accuracy.