Hsiao Sheng-Mou, Hsieh Fon-Jou, Lien Yih-Ron
Department of Obstetrics and Gynecology, National Taiwan University Hospital, Taipei, Taiwan.
Taiwan J Obstet Gynecol. 2006 Sep;45(3):234-8. doi: 10.1016/S1028-4559(09)60231-X.
To compare the clinical features of tuboovarian abscess (TOA) in pre- and postmenopausal women.
Between January 1992 and December 2000, all patients with surgically documented TOA at National Taiwan University Hospital were enrolled into this retrospective study. Salient information with respect to the history, current illnesses, risk factors, physical findings, laboratory data, surgeries and postoperative complications was obtained from medical records.
Of 74 patients with TOA, nine were postmenopausal women. Compared with the premenopausal group, postmenopausal patients were significantly more likely to have contributing medical disorders (p < 0.001) and concomitant pelvic malignant tumors (p = 0.037).
Thorough investigation for concomitant pelvic malignant tumors and meticulous medical care should be provided for postmenopausal women with TOA.
比较绝经前和绝经后女性输卵管卵巢脓肿(TOA)的临床特征。
1992年1月至2000年12月期间,国立台湾大学医院所有经手术证实为TOA的患者均纳入本回顾性研究。从病历中获取有关病史、当前疾病、危险因素、体格检查结果、实验室数据、手术及术后并发症的重要信息。
74例TOA患者中,9例为绝经后女性。与绝经前组相比,绝经后患者合并其他内科疾病(p < 0.001)及合并盆腔恶性肿瘤(p = 0.037)的可能性显著更高。
对于绝经后TOA女性患者,应全面排查合并盆腔恶性肿瘤的情况,并给予精心的医疗护理。