Clinical Observation Of86Cases Of Acute Pelvic Inflammation

Objective：observation and discussion the clinical characteristic andtreatment of pelvic inflammatory disease.Method：Retrospective analysis in January2009to December2011withacute pelvic inflammation in the coverage of the clinical data of86patients,86cases were randomly divided into three groups, A group of49cases, as merelythe drug therapy group，treatment for cephalosporin+ornidazole; Group B21cases，the treatment is traditional operation way joint with antibiotics treatment,antibiotics application solutions is the same as group A; Group C16cases, thetreatment is laparoscopic surgery and antibiotic treatment, antibioticsapplication plan is the same as group A. Retrospectively analyze. three groupsof patients to the general material, pathogenesis, clinical manifestations andtreatment of incentive effect。Results：86patients with an average age of36.98±10.98years old，therecent uterine cavity operation（12.7%）and irregular vaginal bleeding（13.9%）may have correlation with the onset of PID。Abdominal pain (100%)is the mainclinical symptom，75.5%of the patients present no obvious symptoms withfever，vaginal bleeding24.4%, yellow accounted for12.7%。The coincidencerate of cervical motion pain, uterine tenderness and adnexa tenderness whichare the minimum standards of diagnose PID is33.7%、52.3%and68.6%。Eetiology examination is low，only9.3%。With pelvic/acces-sories area bagpiece70.9%，of which68.8%bag piece is greater than5cm in diameter，62.7%of patients were higher than normal leukocytes，48.8%of patients withdifferent degrees of urinary tract infection，38patients serum CA-125test， 65.7%higher than the normal value。Statistical analysis three groups of patientsbefore treatment of the age、bag piece size、white blood count and bodytemperature，according t test of the comparison group A and group B，group Band group C each index between the difference between both not significant (P>0.05)，is comparable。Group B and A group of patients after treatment,compared with an average day in hospital、symptoms disappear time、antibiotics application time、white blood cells resume normal time、surgicaltreatment group are shorter than pure drug group， the difference wasstatistically significant (p <0.05)， traditional operation way joint withantibiotics treatment is better than pure drug treatment group。C group andgroup B patients after treatment，the results in the day in hospital、antibioticsshould use the time、symptoms disappear time、 white blood cells resumenormal time、postoperative exhaust time、postoperative bed activities in timeare shorter than traditional laparoscopic repair group, the difference wasstatistically significant (p <0.05),laparoscopic treatment way is better thantraditional surgeries.Conclusion：1、Pelvic inflammatory disease is often occurred amongsexually active women,abdominal pain is the main clinical symptom, cervicalmotion pain, uterine tenderness and adnexa tenderness are the minimumstandards of diagnosis.the recent uterine cavity operation and irregular vaginalbleeding may increase onset of PID。2、Clinical doctors should intensify thepathogeny strength of pelvic inflammatory disease and use rational drugaccording to drug sensitivity tests,Blood white blood count, CA-125and theultrasonic inspection play a supplementary role in the diagnosis and monitoringof pelvic inflammation disease。3、For the existence of the pelvic bag piece PIDpatients, surgical with antibiotic therapy is better than the simple use of antibiotics, and laparoscopic surgery is better than traditional surgeryprocedures, there are a unique advantages value of clinical application。...