摘要
目的回顾性分析盆腔脓肿的临床表现,提高妇科的诊疗水平。方法对1998年1月至2005年12月,收住我院的盆腔脓肿共89例,其中误诊为其他疾病20例进行分析。结果误诊为外科急腹症阑尾炎7例,卵巢瘤扭转及卵巢囊破裂各5例,异位妊娠2例,卵巢癌1例。结论要提高对盆腔脓肿的认识,尤其是临床症状不典型的患者,详细询问病史,认真进行体格检查,明确诊断,但决不能一味依赖辅助检查或主观臆断,草率诊断,匆忙手术。
Objective To perform retrospective analysis of pelvic abscess,and to provide the measures for improvment of diagnosis and therapy in gynecology. Methods 89 cases of pelvic abscess, in which 20 cases were previously misdiagnosed, from this hospital between January 1998 and December 2005 were retrospectively analyzed. Results 7 cases were misdiagnosed as acute appendicitis, 5 cases were diagnosed as twisted ovarian tumor, 5 cases were diagnosed as rupture of ovarian cysts, 2 cases were diagnosed as extrauterine pregnancy, one was diagnosed as ovarian carcinoma. Conclusion Patients suspected to have pelvic abscess, especially for those without apparent clinical symptom, should be carefully examined. A clear diagnosis should be made before the operation.
出处
《热带医学杂志》
CAS
2007年第11期1111-1112,共2页
Journal of Tropical Medicine
关键词
盆腔脓肿
误诊
pelvic abscess
erroneous diagnosis
