女性盆腔脓肿30例临床分析

目的探讨盆腔脓肿的临床特点,提高诊疗水平。方法对30例女性盆腔脓肿患者的临床资料进行回顾性分析。结果临床症状以发热及腹痛为主,腹部或盆腔内可触及包块。血清CA-125升高占53.3%,B超检查发现盆腔包块者占93.3%。术前诊断准确率53.3%,误诊率23.3%,漏诊率3.3%。结论盆腔脓肿术前误诊率和漏诊率较高,结合临床症状、阳性体征、血清CA-125检测、B超检查结果,可提高诊断的准确率。

Clinical diagnosis of 30 cases with female pelvic abscesses

Objective To explore the clinical characteristics of pelvic abscess thus to raise the diagnostic standard.Methods Thirty cases with gynecologic pelvic abscesses were retrospectively analyzed.Results The principal clinical symptoms of pelvic abscess are fever and abdominal pain.Tissue mass is palpated in the abdomen or pelvic cavity and is detected in 93.3% of all cases by the B type ultrasonography.About half of the cases are characterized by an elevated level of serumal CA-125(>30 U/ml).The accuracy of admitting diagnosis was 53.3%,with a misdiagnosis rate of 23.3% and a missed diagnosis rate of 3.3%.Conclusions There is a comparatively high rate of misdiagnosis and missed diagnosis of pelvic abscess preoperatively.The diagnostic accuracy can be improved by a comprehensive analysis of clinical symptoms,positive physical signs,serumal CA-125 test and the results of B type ultrasonography.