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目的探讨老年女性盆腔脓肿临床特点及处理方法。方法回顾性分析2006—2016年在安徽省立医院收治的16例老年女性盆腔脓肿的临床资料,对其病史、临床表现、辅助检查、治疗方案进行统计与分析。结果 16例病例中有盆腹腔手术史12例;下腹痛14例,盆腔包块15例,发热5例;白细胞增高7例,B超提示有包块15例。进行手术治疗9例,其中3例合并阑尾疾病,2例合并输卵管癌。16例患者平均住院时间15 d,其中15例采用药物或手术对症治疗而痊愈出院,1例包块减小家人要求出院,经随访患者病情完全缓解。结论老年女性盆腔脓肿多伴有输卵管结扎、直肠、阑尾等其他盆腹腔手术史,临床表现以发热、下腹痛、盆腔包块为主,首选抗生素保守治疗,7~10 d无效时,应考虑输卵管癌或卵巢癌的可能,尽早行剖腹探查以明确诊断,精确治疗。
Objective To investigate the clinical features and treatment of pelvic abscess in elderly women. Methods The clinical data of 16 elderly women with pelvic abscess treated in Anhui Provincial Hospital from 2006 to 2016 were analyzed retrospectively. The history, clinical manifestations, auxiliary examination and treatment were analyzed. Results Among the 16 cases, there were 12 cases of pelvic and abdominal surgery, 14 cases of lower abdominal pain, 15 cases of pelvic mass and 5 cases of fever, 7 cases of leukocytosis, and 15 cases showed mass in B-ultrasound. Surgical treatment of 9 cases, of which 3 cases with appendix disease, 2 cases of combined fallopian tube cancer. The average length of hospital stay of 16 patients was 15 days. Among them, 15 cases were cured by drug or surgery and were discharged after treatment. One patient was discharged after the reduction of family members and was completely relieved after follow-up. Conclusion Pelvic abscess in older women is often accompanied by history of tubal ligation, rectum, appendix and other abdominal surgery, clinical manifestations of fever, abdominal pain, pelvic mass, the preferred choice of conservative treatment of antibiotics, should be considered 7 to 10 d tubal Cancer or ovarian cancer may be as early as possible laparotomy to confirm the diagnosis, accurate treatment.