大剂量糖皮质激素综合用药治疗慢性盆腔炎及其后遗症的探讨  

Higher Dosage ol Cortisone in Combined Treatment of Chronic Pelvic Inflammatory Disease and lts Sequelae

作　　者：周曰序 王懿贤[1] 刘润环[1] 刘淑英 刘元萍 

机构地区：[1]天津市中心妇产科医院,300052

出　　处：《天津医药》1995年第11期675-677,共3页Tianjin Medical Journal

摘　　要：急、慢性盆腔炎的临床过程和病理改变不同,治疗上应有所侧重。抗生素治疗急性盆腔炎已取得成效,但对慢性盆腔炎则否。慢性盆腔炎多合并大网膜、子宫、输卵管和卵巢慢性炎性包块,固着于盆底,甚至累及宫颈旁韧带或子宫骶骨韧带使之增粗挛缩,采用抗生素治疗鲜有成效,手术切除也不理想,而且多数年轻病人尚渴望保存生育能力。笔者对慢性盆腔炎的治疗以大剂量强的松口服为主,抗生素应用为辅,必要时附加阴道穹窿部氢考纱托或追加子宫输卵管注药。治疗后炎性包块多能消失,粘连解除和输卵管复通,治愈率达92％,未见复发。经治的55例不孕症患者中35例已受孕。There are differences in cllnical signs and pathological changes between acute and chronic pelivc inflam-matory diseases(PID) and then mam treatment should be different from each other. Ade<juate antibiotic thera-py is important and useful for acute disease,but in severe chronic PID the omentum,uterus,tubes and ovaries may be fixed together in a fibrous mass with dense adhesion. In those cases the antibiotic therapy is usually ineffective and surgery in unfavorable. The symptoms may be cuntrolled by using large doses of prednisone by mouth only or comblned with vaginal fornix cremor hydrocortisoni-tampon ,or followed up with mj hydrocor-tisoni utero-tubal insufflation. After treatment the adnexal mass are found to be resolved and free from adhesion, the tubal obstruction usually results in restoration of patency. Cure rate was 92%, usually no recur-rence. After treatment 35 of 55 women were pregnant.

关 键 词：慢性 盆腔炎 糖皮质激素 抗菌素 综合疗法 

分 类 号：R711.330.5[医药卫生—妇产科学]