Yang Lei, Zhong Juhua, Chen Huihua, Gao Chen, Lin Tingting, Chen Liangyu, Zhang Zhenwen, Lin Yang, Zheng Yiyi
Department of Obstetrics and Gynecology, Ningde Municipal Hospital of Ningde Normal University, Ningde, China.
BMC Womens Health. 2025 Jun 4;25(1):276. doi: 10.1186/s12905-025-03838-5.
Pelvic abscesses represent acute gynecological emergencies requiring timely intervention. This study evaluated prognostic predictors and treatment modalities in patients with pelvic abscesses.
We conducted a retrospective analysis of 127 consecutive pelvic abscess cases treated at Ningde Municipal Hospital between 2016 and 2021. Patients were stratified by treatment modality (non-surgical, laparoscopic, open surgery). Multiple linear regression analyses were performed to assess the associations between risk factors and prognostic outcomes.
Non-surgical management was associated with smaller abscess size but longer recovery times compared to surgical interventions. Laparoscopic approaches exhibited superior outcomes versus open surgery in both operative time and blood loss. Multivariate analysis identified key prognostic factors included treatment modality, duration from onset to admission, pre-admission temperature, CA125 levels, and maximum mass diameter.
These findings underscore the prognostic value of early intervention, biomarker-guided decision-making, and minimally invasive approaches in pelvic abscess management. By identifying these factors, healthcare providers could effectively stratify patients based on their risk profiles, facilitating more personalized treatment strategies and improved prognostic outcomes.
盆腔脓肿是需要及时干预的急性妇科急症。本研究评估了盆腔脓肿患者的预后预测因素和治疗方式。
我们对2016年至2021年期间在宁德市医院连续治疗的127例盆腔脓肿病例进行了回顾性分析。患者按治疗方式（非手术、腹腔镜、开放手术）分层。进行多元线性回归分析以评估危险因素与预后结果之间的关联。
与手术干预相比，非手术治疗与较小的脓肿大小相关，但恢复时间更长。在手术时间和失血量方面，腹腔镜手术方法比开放手术表现出更好的结果。多变量分析确定的关键预后因素包括治疗方式、发病至入院的持续时间、入院前体温、CA125水平和最大肿块直径。
这些发现强调了早期干预、生物标志物指导决策和微创方法在盆腔脓肿管理中的预后价值。通过识别这些因素，医疗保健提供者可以根据患者的风险状况有效地对患者进行分层，促进更个性化的治疗策略和改善预后结果。
