Schmidt E, Nehra P
Bon Secours Hospital, Grosse Pointe, Michigan.
Am Fam Physician. 1988 Apr;37(4):181-5.
Patients with tubo-ovarian abscess usually present with pain and fever. Pelvic examination discloses adnexal tenderness or a mass. For unruptured tubo-ovarian abscess, antibiotics that provide anaerobic coverage and are capable of penetrating the abscess should be given. If there is no improvement in 48 to 72 hours, conservative surgery should be performed, preserving hormonal and reproductive function, if possible.
输卵管卵巢脓肿患者通常表现为疼痛和发热。盆腔检查可发现附件压痛或肿块。对于未破裂的输卵管卵巢脓肿,应给予能覆盖厌氧菌且能穿透脓肿的抗生素。如果在48至72小时内病情无改善,应进行保守手术,尽可能保留激素和生殖功能。