国际妇产科学杂志 ›› 2009, Vol. 36 ›› Issue (5): 364-366.

• 综述 • 上一篇    下一篇

Fitz-Hugh-Curtis综合征研究进展

靳翠平;尚玉敏   

  1. 300050 天津市天和医院妇产科
  • 收稿日期:2008-12-26 修回日期:1900-01-01 出版日期:2009-10-15 发布日期:2009-10-15

The Progression About Fitz-Hugh-Curtis Syndrome Study

JIN Cui-ping;SHANG Yu-min   

  1. Department of Obstetrics and Gynecology, Tianhe Hospital, Tianjin 300050, China
  • Received:2008-12-26 Revised:1900-01-01 Published:2009-10-15 Online:2009-10-15

摘要: Fitz-Hugh-Curtis综合征是盆腔感染合并肝周围炎,主要涉及肝包膜而无肝实质损害,在慢性盆腔炎患者中较为常见。病原菌主要是淋病奈瑟菌及衣原体,主要临床表现为右下腹痛,并可导致慢性腹痛、不孕、异位妊娠等多种并发症。可结合腹腔CT、相关实验室检验及腹腔镜检查对其进行诊断及鉴别诊断,并通过敏感抗生素及腹腔镜手术进行有效治疗。就Fitz-Hugh-Curtis综合征病因与发病机制、临床特征、并发症、诊断、治疗及相关意义进行综述。

关键词: Fitz-Hugh-Curtis综合征, 盆腔炎性疾病, 诊断, 治疗, 进展

Abstract: Fitz-Hugh-Curtis is a rare syndrome characterised by perihepatitis following pelvic inflammatory disease. It is mainly apparant at hepatic capsular without liver parenchyma damage in sufferers with chronic pelvic inflammatory disease. The pathogenic bacteria mainly include diplococcus gonorrhoeae and chlamydia. The clinical manifestation of Fitz-Hugh-Curtis is chronic abdominal pain, infertility, ectopic pregnancy and so on. It will be diagnosed and differentially diagnosed with abdominal CT, lab testing and laparoscopy, and will be cured with effective antibiotic and laparoscopic surgery. Here we review the cause and onset of disease, clinical feature, complication, diagnosis, therapy and the significance on Fitz-Hugh-Curtis syndrome.

Key words: Fitz-Hugh-Curtis syndrome, Pelvic inflammatory disease, Diagnosis, Treatment, Advancement