CAJ | 학술논문

目的探讨女性盆腔脓肿的临床特点、诊断及治疗方法，提高诊疗水平。方法对我院60例女性盆腔脓肿患者的临床资料进行回顾性分析。结果本组盆腔脓肿临床表以发热、腹痛及盆腔包块为主，60例患者中有发热27例(45.0%)，有腹痛症状49例(81.7%)，盆腔可触及有触痛的包块42例(70.0%)。超声检查确诊率为57.7％，细菌培养阳性率35.0％，术前诊断准确率为53.3％，误、漏诊率为46.7％。腹腔镜手术操作时间、术中出血量、术后发热天数、术后平均住院天数均比开腹手术少。结论盆腔脓肿临床表现不典型，术前误、漏诊率较高。结合临床症状、阳性体征和辅助检查，可提高诊断准确率。经腹腔镜手术治疗效果好。
목적탐토녀성분강농종적림상특점、진단급치료방법，제고진료수평。방법대아원60례녀성분강농종환자적림상자료진행회고성분석。결과본조분강농종림상표이발열、복통급분강포괴위주，60례환자중유발열27례(45.0%)，유복통증상49례(81.7%)，분강가촉급유촉통적포괴42례(70.0%)。초성검사학진솔위57.7％，세균배양양성솔35.0％，술전진단준학솔위53.3％，오、루진솔위46.7％。복강경수술조작시간、술중출혈량、술후발열천수、술후평균주원천수균비개복수술소。결론분강농종림상표현불전형，술전오、루진솔교고。결합림상증상、양성체정화보조검사，가제고진단준학솔。경복강경수술치료효과호。
Objective: To study the clinical features, diagnosis and treatment of Pelvic abscess in female patients, thus to raise the diagnostic standard. Methods: Clinical data of 60 women suf ering from pelvic abscess were analyzed retrospectively. Results: The clinical symptoms of fever and lower abdominal pain and pelvic masses were usual y found in the pelvic abscess cases. Among them, 27 women have the symptom of fever in 45.0%, 49 women have the lower abdominal pain in 81.7%, 42 women have pelvic masses in 70.0%. The accurate rate of ultrasonographic diagnosis was 57.7%. The positive rates of germiculture was 35.0%. The accurate rate of preoperative diagnosis was 53.3%. The rate of misdiagnosis was 46.7% in the study. Compared with open surgery group, the laparoscopic group was of less intraoperative blood loss, shorter time of operation, fever and hospitalization. Conclusion: The etiology and clinical features are complicated and lack of specificity. The rate of misdiagnosis is rather high in pelvic abscess cases. The dinical parameters combined with US investigation can improve the accurate dia gnosis rate. Laparoscopic surgery is the bet er way in treating pelvic abscess cases.