超声引导下经阴道抽吸输卵管卵巢脓肿和输卵管积脓：急性盆腔炎的一种可选治疗方法。
Ultrasonographically guided transvaginal aspiration of tuboovarian abscesses and pyosalpinges: an optional treatment for acute pelvic inflammatory disease.
作者信息
Aboulghar M A, Mansour R T, Serour G I
机构信息
Egyptian In Vitro Fertilization-Embryo Transfer Center, Cairo University, Egypt.
出版信息
Am J Obstet Gynecol. 1995 May;172(5):1501-3. doi: 10.1016/0002-9378(95)90486-7.
OBJECTIVE
Our purpose was to assess the value of ultrasonographically guided transvaginal aspiration of tuboovarian abscesses and pyosalpinges presenting with the clinical picture of acute pelvic inflammatory disease.
STUDY DESIGN
Fifteen patients seen for acute pelvic inflammatory disease were treated by ultrasonographically guided transvaginal aspiration of pus from tuboovarian abscesses and pyosalpinges, followed by local and systemic administration of antimicrobal therapy.
RESULTS
Improvement of symptoms followed aspiration in all patients. Temperature dropped to normal within 24 to 72 hours, and pain completely disappeared within 3 days. All patients were symptom free during a follow-up period of 6 months after aspiration.
CONCLUSION
Ultrasonographically guided transvaginal aspiration of pyosalpinges and tuboovarian abscesses is an effective, simple, and safe treatment. It avoided the need for laparoscopy or laparotomy.
目的
我们的目的是评估超声引导下经阴道抽吸输卵管卵巢脓肿及输卵管积脓（呈现急性盆腔炎临床表现）的价值。
研究设计
15例因急性盆腔炎就诊的患者接受了超声引导下经阴道从输卵管卵巢脓肿及输卵管积脓中抽吸脓液的治疗，随后进行局部和全身抗菌治疗。
结果
所有患者抽吸后症状均有改善。体温在24至72小时内降至正常，疼痛在3天内完全消失。所有患者在抽吸后6个月的随访期内均无症状。
结论
超声引导下经阴道抽吸输卵管积脓及输卵管卵巢脓肿是一种有效、简单且安全的治疗方法。它避免了腹腔镜检查或剖腹手术的需要。
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