Kolmorgen K, Seidenschnur G, Dobreff U
Frauenklinik, Bezirkskrankenhauses und Poliklinik, Rostock.
Zentralbl Gynakol. 1988;110(7):423-8.
A report is given on 119 patients suffering from abscessforming adnexitis, mainly tubo-ovarian abscesses (40.3%) and pyosactosalpinges (38.7%). These women were operated on within the first 24 hours after admission to the hospital. Before the operation was performed 70.6% of the women had been submitted to laparoscopy. The other ones (28.4%) had unequivocal primary sign of the disease. Laparoscopic diagnosis is recommended because especially in the early phase of abscess formation no clear diagnosis by clinical examination and paraclinical findings is possible. Operation as early as possible in case of formation of a tubo-ovarian abscess is recommended by reason of the good experience and results which become apparent by small intra- and post-operative complication rate of 1.7% respectively, the short hospital stay of 12.8 days and the short time of risamblement of 53 days. The extent of the operation should depend on degree of severity of the illness, reproductive aspects.
报告了119例患有脓肿形成性附件炎的患者，主要是输卵管卵巢脓肿（40.3%）和输卵管积脓（38.7%）。这些女性在入院后的头24小时内接受了手术。在进行手术前，70.6%的女性接受了腹腔镜检查。其他患者（28.4%）有明确的疾病初始体征。推荐腹腔镜诊断，因为特别是在脓肿形成的早期阶段，通过临床检查和辅助检查结果无法明确诊断。鉴于手术经验丰富且效果良好，包括术中及术后并发症发生率分别仅为1.7%，住院时间短至12.8天，康复时间短至53天，因此建议在输卵管卵巢脓肿形成时尽早进行手术。手术范围应取决于疾病的严重程度和生殖方面的情况。
