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骨盤腔內膿瘍(Pelvic abscess) 22例에 對한 觀察

Clinical study of pelvic abscess

대한산부인과학회지 1958년 1권 1호 p.67 ~ 68
박정희 (  ) - Sudo Medical College Depart. Of Gyn.& Obst

Abstract


22cases of pelvic abscess have been, observed during past 22 years, 1956-1957, and following observations are found.
I. Etiology
According to -the development of chemotherapy, now a few cases of parametrial abscess. may be caused by the labor, even though-´classical description of parametrial abscess´ has been mentioned to find largely after labor. Here most cases were seen after operative management, of those many are occured after pyosalphinx and pelvic peritonitis,` next-Jarges figures_ were found in the cases according to cauterizing manages for prolapses uteri by laymen.
I.. Symptoms and diagnosis
All cases complained of lower, abdominal pain, and fever was seen in. 13 cases with. 37-38C, in 6 cases with 38-39´C, in 6 cases with over 39´C.. So the slight or moderate fever is noticeable in more. than half of these Cases.
The upper and lower abdominal pain, fever,: leucocytosis and tumor sign by vaginal examination are helpful in´ diagnosing, however, in uncertain cases, test puncture in Dauglas portion should be-performed by conformation.
I .The fate of abscess without treatment ;
Au the most cases of the abscess after pelvic peritonitis.are Dauglas, abscess, so this has broken- into rectum, or spontaneously absorbted, or slightly subsided but relapsed afterwards:
However, parametrial abscess without -treatment, have been broken-; into rectum; bladder, vagina- or cervix ,uteri..
Also it found during total. histerectomy that. pus was drained from the stump of vagina. -Some occasion the abscess were absorbed naturally or remained with capsule formation for long,, period Treatment.
the, 9cases have been treated as following : 3 cases Hysterectomy Salpingo Oophorectomy,, Drainage on abdominal wall : 6 cases, Abdominal-drainage after incision of abdominal -abscess ; I case. incision on posterior vaginal wall.

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