Moldenhauer M, Link H
Zentralbl Gynakol. 1978;100(6):376-80.
It is reported about the indication to operative therapy, therapy-shape and the going of cure of 30 patients suffering from tuboovarian abscesses. At the beginning there is the conservative therapy with general measures immediately dose of antibiotica without waiting for the germ and resistence determinations. However the well timed operative therapy under conditions as well as possible is deciding. As a rule the abdominal exstirpation of the uterus with both adnexe is practiced in order to come to a complete removal of the infection hearth. --The postoperative cours war only febril in one third of the treated women. In 86,7% the laparotomy scare healed per primam intentionem. We didn't observe an extension of the infection post operationem and there were not any complications with letal exit.
报告了30例患有输卵管卵巢脓肿患者的手术治疗指征、治疗方式及治愈过程。起初采用保守治疗,立即采取一般措施并给予抗生素,无需等待细菌及药敏结果。然而,尽可能在合适条件下及时进行手术治疗才是关键。通常采用子宫及双侧附件切除术,以彻底清除感染灶。——术后病程中,仅三分之一接受治疗的女性出现发热。86.7%的剖腹手术切口一期愈合。术后未观察到感染扩散,也未出现致命性并发症。