摘要
目的探讨剖宫产术后脓肿形成的原因及治疗方式。方法对2014年1月-2015年9月在天津市中心妇产科医院治疗的5例剖宫产术后盆腔脓肿的临床资料进行回顾性分析。结果 5例患者中有保胎史者4例,临产后手术者2例,胎膜早破后手术者1例,剖宫产指征中活跃期儿头下降停滞者2例,社会因素2例,臀位1例,5例患者体重指数4例>25。5例患者入院时3例合并腹部伤口感染,2例合并宫腔感染。4例行静脉抗炎保守治疗后治愈出院,其中1例行开腹探查清创术,无死亡病例。结论产前保胎史、临产后手术、胎膜早破后手术、体重指数>25是发生剖宫产术后盆腔脓肿的危险因素。盆腔脓肿形成后静脉抗炎及宫腔引流保守治疗效果较好,能减少再次开腹手术风险。
Objective To investigate the causes and treatment of pelvic abscess after cesarean delivery（PAC）. Methods The data from 5 cases of PAC were retrospective analysised from Jun. 2014 to Sept. 2015 in Tianjin Central Hospital of Obstetrics and Gynecology. Results 4 cases had tocolysis history. 2 cases had surgery after parturient. 1 case had surgery after preterm premature rupture of membranes. 2 cases had the head protracted descent in the active phase of caesarean section, 2 cases had social factors, 1 case had breech presentation. 4 cases showed BMI 25. 3 cases combined with abdominal wound infection, 2 cases combined uterine cavity infection. 4 cases healed after treatment of antibiotics. 1 case had open radical debridement.Conclusion Tocolysis history, surgery in labor, surgery after preterm premature rupture of membranes,BMI 25 were high risks of PAC. Antibiotics treatment and cavity of uterus washing were effective in the treatment of PAC.
出处
《中国城乡企业卫生》
2016年第6期112-113,共2页
Chinese Journal of Urban and Rural Enterprise Hygiene
