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本文报告50例在腹腔镜直视下诊断和治疗输卵管卵巢脓肿(TOA)的结果.其治疗方案为入院后24小时内用腹腔镜吸出并加抗生素治疗.按脓肿发生时间的长短分两组:近期TOA32例,在直视下用测杆可看到器官之间粘连脆,且易破开.将堆积在输卵管(脓肿外壁)、子宫(前壁)、卵巢(下壁)和肠管(上壁)之间的脓液吸出后,游离的附件和肠管用生理盐水合剂加抗生素(强力霉素或二甲胺四环素)冲洗.长期TOA18例,已形成囊壁,肠管一般能从粘连的盆腔器官分离,但附件增厚如肿块,用探针穿刺肿块并插入脓肿中,可吸
This article reports 50 cases of laparoscopic diagnosis and treatment of tubal ovarian abscess (TOA) results.The treatment program for admission within 24 hours after laparoscopic aspiration and antibiotics.According to the length of time the abscess divided into two groups: Recent 32 cases of TOA, under direct vision with the rod can be seen in the adhesion between organs brittle, and easy to break open. Will be deposited in the fallopian tube (abscess), the uterus (anterior wall), ovary (lower wall) and intestine ) Of the pus between the suction, the free attachment and intestine with saline mixture plus antibiotics (doxycycline or minocycline) rinse long-term TOA18 cases, has formed a cyst wall, bowel generally separated from the pelvic organs adhesions , But the attachment thickening, such as lumps, using a probe to puncture the lump and insert abscess, can be sucked