替硝唑治疗盆腔炎疗效观察

静脉点滴替硝唑0．4g，（bid）或口服替硝唑片0．2g（bid），治疗盆腔炎640例。结果：治愈率为急性盆腔炎88．75％，慢性盒腔炎82．81％，盆腔包块70％，盆腔脓肿84．74％。     

输卵管积水误诊卵巢囊肿1例

患者,41岁,汉族,已婚未育,因下腹疼痛1年,B超发现子宫肌瘤、盆腔包块半年,伴经期延长26天,于1999年9月8日入院。患者1年前开始常感下腹部隐痛不适,阵发性加重,在外院诊治B超检查发现子宫肌瘤、盆腔包块,建议手术治疗,患者未接受,次日到我院B超复查进一步确诊子宫肌瘤、盆腔良性     

第9讲 子宫内膜异位症的再认识

子宫内膜异位症是指子宫内膜组织在子宫腔被覆内膜以外的其他部位出现、生长、浸润并反复出血导致的疾病,是常见的妇科良性疾病,但却具有类似恶性肿瘤远处转移和种植生长的能力。多发生于育龄期妇女,临床上表现为痛经、不孕、月经不调、盆腔包块等,     

卵巢放线菌病一例

患者女,39岁,发现盆腔包块1年余,近20天出现下腹胀痛于2005年6月13日入院。     

宫内节育器异位误诊为盆腔包块1例并文献复习

宫内节育器（intrauterine contraceptive device,IUD）异位是放置IUD最严重的并发症之一,据报道发生率为0.04%－0.13%.IUD可异位于盆腔、腹腔内或肠管、阔韧带等邻近器官,部分患者常无特殊的症状,诊断亦无特异性方法。我科2010年3月收治1例盆腔囊实性包块患者,经腹腔镜探查确诊为“宫内节育器异位”并取出,现结合文献复习报告如下。     

超声诊断库肯勃格瘤1例

患者女 ,37岁 ,发现盆腔包块 1+ 年 ,伴腰腹坠胀 2 + 天入院。查体 :一般情况可 ,心肺 (- ) ,腹平 ,软、无压痛。肝、脾未扪及。移浊 (- )。双肾区无叩痛 ,肠鸣音正常。右侧附件区扪及一 8cm× 6cm× 5cm质硬包块 ,左附件可扪及一 8cm×7cm× 5cm的质硬包块 ,边界欠清楚。超声所见 :子宫大小为5 .1cm× 4 .0cm× 3.1cm ,前位 ,子宫形态规则 ,实质回声均质 ,宫内膜线清晰居中 ,厚 0 .6cm。子宫左后方一 6 .7cm× 6 .7cm× 8.9cm的低回声团块 ,边界清 ,内回声不均质 ,夹杂无回声暗区 ;子宫右上方可见一 8.1cm× 6 .1cm× 5 .5cm的低回声团块 ,…     

术前血清CA125、CA199和AFP测定用于鉴别妇科盆腔包块性质的临床价值

选取2013年6月~2015年8月我院收治的盆腔包块患者共172例,其中有151例良性包块,21例恶性包块,通过微粒子酶联免疫法以及放免法对172例患者的术前血清CA125、CA199和AFP进行测定,结合测定结果对患者妇科盆腔包块性质的临床鉴别价值进行分析。结果恶性盆腔包块患者术前血清CA125、CA199和AFP的水平值(219.46±112.39)U/ml、(137.83±104.67)U/ml、(6.58±3.27)ng/ml,均高于良性盆腔包块患者的(33.14±25.86)U/ml、(35.05±22.48)U/ml、(3.17±1.05)ng/ml;恶性盆腔包块患者术前血清CA125、CA199和AFP的阳性率分别为76.19%(16/21)、23.81%(5/21)、9.52%(2/21),均高于良性盆腔包块患者的36.42%(55/151)、5.30%(8/151)、0.00%(0/151)。P0.05,存在统计学意义。术前血清CA125、CA199和AFP测定能有效对妇科盆腔包块的性质进行鉴别,值得推广应用。     

罕见阴道斜隔致原发性痛经2例

一、病例摘要例1,患者16岁,未婚,因痛经3年,发现盆腔包块1年入院。患者平素月经规律,有痛经,最近1年痛经加剧,曾就诊当地医院,B超检查发现盆腔包块,遂转来我院就诊。入院后妇科检查:外阴无异常,左侧阴道壁可及一8cm×6cm囊性肿块伸向盆腔,子宫前位,正常大,质中,活动佳,无压痛,右侧附件无异常。B超提示患者双子宫、阴道积液、盆腔少量积液,左侧肾脏缺如,考虑双子宫、阴道斜隔可能。行阴道探查,宫颈左侧触及囊性肿块,表面无孔,经囊肿穿刺,抽出暗红色血液,部分脓性,阴道斜隔诊断明确。行斜隔边缘切开,流出暗红血液约250ml,并见一宫颈,用生理盐…     

卵巢内胚窦瘤超声表现 1 例

患者女,25岁,因下腹部疼痛,发现盆腔包块1个月入院。体格检查：盆腔可触及一大小约18cm×15cm包块,轻压痛,界限欠清。     

126例青春期女性盆腔包块的病因及诊治分析

Objective To explore the clinical characteristics,causes,diagnosis and treatment of pelvic mass in adolescents caused by gynecologic diseases. Methods One hundred and twenty-six adolescents with gynecologic diseases presented as pelvic mass were retrospectively reviewed. Results The average age of all patients was 17. 6 years,ranging from 10. 0 to 19. 0 years. Ectopic pregnancy was found in 38 patients(30. 2%) ,the average age of the patients was 18.6 ±0.5 years, ranging from 17.0 to 19.0 years. Ovarian neoplasm was found in 35 patients (27. 8%) ,the average age of the patients was 17. 1 ± 2. 1 years, ranging from 10. 0 to 19. 0 years. Twenty cases (57. l%)had germ cell tumor, eighteen with mature teratomas, one with endodermal sinus tumor and one with immature teratoma. Thirteen cases(37. 2%)had epithelial ovarian tumors;eight with serous cystadenomas,three with mucinous cystadenoma, one with mucinous cystadenoma complicated with serous cystadenoma and one with borderline mucinous cystadenoma. Two cases had simple cyst of the ovary (5. 7%) . Congenital abnormality of reproductive tract was found in 14 patients (11. 1%), the average age was 14. 7 ±2. 2 years, ranging from 13.0 to 19. 0 years. Seven had imperforate hymens, two had rudimentary horn of uterus,four had atresia of vagina,one had atresia of vagina complicated with rudimentary horn of uterus,and one had oblique septum of vagina. Corpus luteum rupture was found in 11 patients (8. 7%) , the average age was 18. 1 ± 1. 9 years, ranging from 13. 0 to 19. 0 years. 116 patients underwent operative treatment and 10 patients underwent conservative therapy. Conclusions According to the stage of adolescents, main causes of pelvic mass in adolescents are different Main causes of pelvic mass in early adolescents are tumorous disease. Congenital abnormalities of reproductive tract are usually in middle adolescents. The gonads develop closely mature in late adolescent period; main causes of pelvic mass are ectopic pregnancy, ovarian neoplasm and physiologic ovarian cyst Surgery is the main therapy of pelvic mass in adolescents.