Transvaginal ultrasound-guided aspiration for treatment of tubo-ovarian abscess: A study of 302 cases
Transvaginal ultrasound-guided aspiration for treatment of tubo-ovarian abscess: A study of 302 cases
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DOI：
10.1016/j.ajog.2005.06.019
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发表时间：
2005-10-01
影响因子：
9.8
通讯作者：
Granberg, S
中科院分区：
文献类型：
--
作者：
Gjelland, K;Ekerhovd, E;Granberg, S
目的：我们的目的是评估经阴道超声引导抽吸联合抗生素治疗输卵管卵巢脓肿的有效性和安全性。研究设计：对 1986 年 6 月至 2003 年 7 月在挪威卑尔根 Haukeland 大学医院接受经阴道超声引导抽吸治疗输卵管卵巢脓肿的女性进行了回顾。评估了即刻临床反应和长期随访结果。结果：对 302 名女性总共进行了 449 次经阴道抽吸。共有 282 名女性 (93.4%) 成功接受了经阴道脓液抽吸以及抗生素治疗。另外 20 名女性 (6.6%) 接受了手术。手术的主要适应症是诊断或治疗的不确定性，例如怀疑残留的输卵管卵巢脓肿或疼痛。未发现手术相关并发症。结论：经阴道超声引导下抽吸联合抗生素是治疗输卵管卵巢脓肿有效、安全的治疗方案。高成功率表明它应该是一线手术。 (C) 2005 Mosby, Inc. 保留所有权利。
Objective: Our purpose was to evaluate the effectiveness and safety of transvaginal ultrasound-guided aspiration together with antibiotic therapy for treatment of tubo-ovarian abscess.Study design: A review of women treated with transvaginal ultrasound-guided aspiration for tubo-ovarian abscess at Haukeland University Hospital, Bergen, Norway, between June 1986 and July 2003 was performed. Immediate clinical response and longer-term follow-up results were assessed.Results: A total of 449 transvaginal aspirations were performed on 302 women. A total of 282 women (93.4%) were successfully treated for transvaginal aspiration of purulent fluid, together with antibiotic therapy. In the other 20 women (6.6%), surgery was performed. The main indications for surgery were diagnostic or therapeutic uncertainty, such as suspected residual tubo-ovarian abscess or pain. No procedure-related complications were diagnosed.Conclusion: Transvaginal ultrasound-guided aspiration combined with antibiotics is an effective and safe treatment regimen for tubo-ovarian abscess. The high success rate indicates that it should be a first-line procedure. (C) 2005 Mosby, Inc. All rights reserved.