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继发于流产、足月产、宫腔内操作后,或慢性盆腔炎急性发作的急性盆腔炎症,一般均以大剂量敏感抗生素治疗为主,少数患者经保守治疗无效后,应及时考虑手术。兹就具体的手术指征及范围叙述如下。一、急性盆腔炎的手术指征附件急性化脓性炎症在包块未形成前,一般勿需手术,如有下列情况则是手术治疗的指征:(一)附件脓肿(或输卵管卵巢脓肿):文献指出大多数盆腔炎对抗生素治疗有效,只有当脓肿存在时,疗效就差得多。故经抗生素治疗5天后,症状及体征持续或恶化,盆块或腹块增大,或怀疑脓肿破裂者,应考虑手术治疗。但亦有人主张入院后抗生素治疗72小时内无效的病人,施行手术可显著缩短住院日期。据Jones 等的统计资料,在全部住院的输卵管炎或盆腔炎病人中,54.3%进行了手术,其中
Secondary to abortion, full-term labor, intrauterine operation, or acute pelvic inflammatory disease acute pelvic inflammatory disease, are generally high-dose sensitive antibiotic therapy, a small number of patients after conservative treatment is invalid, should be considered in time surgery. Here are the specific surgical indications and scope described below. Acute pelvic inflammatory disease surgical indications Annex Acute suppurative inflammation in the mass is not formed before the general surgery without surgery, if any of the following conditions are indications for surgical treatment: (A) Annex abscess (or tubal ovarian abscess): The literature points out that most pelvic inflammatory disease is effective in antibiotic therapy, and the effect is much worse only when abscesses exist. Therefore, after 5 days of antibiotic treatment, symptoms and signs of persistent or deteriorated, pelvic or abdominal mass increases, or suspected abscess ruptured, surgical treatment should be considered. However, some people claim that antibiotics can not be effective within 72 hours after admission, and the operation can significantly shorten the hospitalization date. According to Jones et al., 54.3% of all hospitalized patients with salpingitis or pelvic inflammatory disease underwent surgery, of which