子宫腺肌病合并卵巢子宫内膜异位囊肿取卵术后并发盆腔脓肿一例

doi:10.12280/gjfckx.20240847

国际妇产科学杂志 ›› 2024, Vol. 51 ›› Issue (6): 717-720.doi: 10.12280/gjfckx.20240847

• 普通妇科疾病及相关研究:病例报告 • 上一篇

子宫腺肌病合并卵巢子宫内膜异位囊肿取卵术后并发盆腔脓肿一例

张艳, 张意茗()

261053 山东省潍坊市，山东第二医科大学临床医学院（张艳）；山东第一医科大学附属中心医院妇产科（张意茗）

收稿日期:2024-09-14 出版日期:2024-12-15 发布日期:2024-12-16
通讯作者: 张意茗，E-mail：zhangyimingdoctor@126.com

A Case of Pelvic Abscess Following Oocyte Retrieval in A Patient with Adenomyosis and Ovarian Endometriosis Cyst

ZHANG Yan, ZHANG Yi-ming()

School of Clinical Medicine, Shandong Second Medical University, Weifang 261053, Shandong Province, China (ZHANG Yan); Department of Obstetrics and Gynecology, Central Hospital Affiliated to Shandong First Medical University, Jinan 250000, China (ZHANG Yi-ming)

Received:2024-09-14 Published:2024-12-15 Online:2024-12-16
Contact: ZHANG Yi-ming, E-mail: zhangyimingdoctor@126.com

摘要/Abstract

摘要：

盆腔脓肿是辅助生殖技术中取卵术后罕见但严重的并发症，因其临床表现缺乏特异性，易导致漏诊或误诊，进而延误治疗，增加治疗难度。尤其在合并子宫内膜异位症的患者中，盆腔脓肿的发生风险显著升高。报告1例合并子宫腺肌病和卵巢子宫内膜异位囊肿的患者在取卵术后并发盆腔脓肿，初期经过抗生素治疗及脓肿穿刺引流，症状暂时缓解，但随后复发，最终通过腹腔镜手术联合抗生素抗感染后治愈。此病例强调了取卵术后并发盆腔脓肿患者的早期诊断和治疗的重要性。而对于复发性盆腔脓肿，应采取更为积极的干预措施，以优化患者预后并降低并发症风险。

关键词: 盆腔炎性疾病, 脓肿, 子宫腺肌病, 子宫内膜异位症, 卵巢囊肿, 生殖技术, 辅助, 取卵术

Abstract:

Pelvic abscess is a rare but serious complication following oocyte retrieval in assisted reproductive technology. Its nonspecific clinical presentation often leads to misdiagnosis or delayed diagnosis, which can result in treatment delays and increased complexity. The risk of developing a pelvic abscess is significantly higher in patients combined endometriosis. This report presents a case of a female patient with adenomyosis and ovarian endometriotic cysts who developed a pelvic abscess after oocyte retrieval. While her symptoms initially improved with antibiotic therapy and abscess drainage, the condition later recurred, necessitating laparoscopic surgery combined with antibiotic resistance against infection for a definitive cure. This case underscores the importance of early diagnosis and intervention in managing pelvic abscesses post-oocyte retrieval. For recurrent cases, more aggressive interventions should be taken to optimise the patient′s prognosis and reduce the risk of complications.

Key words: Pelvic inflammatory disease, Abscess, Adenomyosis, Endometriosis, Ovarian cysts, Reproductive techniques, assisted, Oocyte retrieval

张艳, 张意茗. 子宫腺肌病合并卵巢子宫内膜异位囊肿取卵术后并发盆腔脓肿一例[J]. 国际妇产科学杂志, 2024, 51(6): 717-720.

ZHANG Yan, ZHANG Yi-ming. A Case of Pelvic Abscess Following Oocyte Retrieval in A Patient with Adenomyosis and Ovarian Endometriosis Cyst[J]. Journal of International Obstetrics and Gynecology, 2024, 51(6): 717-720.

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子宫腺肌病合并卵巢子宫内膜异位囊肿取卵术后并发盆腔脓肿一例

A Case of Pelvic Abscess Following Oocyte Retrieval in A Patient with Adenomyosis and Ovarian Endometriosis Cyst

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