绝经期女性宫腔积脓60例临床诊治分析

Clinical Analysis of 60 Cases of Postmenopausal Pyometra

目的分析绝经期女性宫腔积脓的临床诊治措施和效果。方法对该院2012年4月—2015年3月收治绝经期女性宫腔积脓患者60例的资料进行回顾。观察患者治愈情况、并发症情况及病死情况。结果 60例患者中,通过实施B超检查56例被诊断为宫腔积脓,其中,20例患者合并宫内节育器,6例患者因宫腔内积脓过多,B超检查误诊为卵巢囊肿,经由保守治疗后,均痊愈出院。结论绝经期宫腔积脓具有症状、病症不明显的特征,易误诊,这就需要加强检查力度,便于及时发现病症,提高治疗效果。

Objective To analyze the postmenopausal pyometra the clinical diagnosis and treatment measures and effects.Methods A retrospective study of 60 cases in our hospital in April 2012 to March 2015 from postmenopausal women with uterine empyema patients.Observed in patients cured cases, complications and mortality situation. Results 60 patients,through the implementation of B ultrasonic examination of 56 cases were diagnosed as uterine empyema. Among them, 20 patients with intrauterine device(IUD), 6 patients due to excessive intrauterine empyema, B-ultrasound misdiagnosed as ovarian cysts, through conservative treatment, were cured and discharged. Conclusion Postmenopausal pyometra with no obvious symptoms, disease characteristics, is easy to be misdiagnosed, which requires to increase inspection efforts, to facilitate the timely detection of disease, improve the therapeutic effect.