NHẬN XÉT ĐIỀU TRỊ VIÊM PHẦN PHỤ CẤP TẠI BỆNH VIỆN PHỤ SẢN TRUNG ƯƠNG

Abstract

Objective: To review the results of treatment of pelvic inflammatory disease(PID) at National of Obstetrics and Gynecology Hospital in 3 years 2018-2020. Methods: A retrospective descriptive study on 658 patients with PID at National of Obstetrics and Gynecology Hospital from January 1, 2018 to December 31, 2020. Results: In 658 patients diagnosed with PID, 76.3% received medical treatment, 23.7% received surgery, laparoscopic surgery accounted for the majority of 85.2%. The main medical treatment is antibiotics 61.1% in combination with 3 groups of antibiotics. Indications for surgery for PID that did not respond to medical treatment were the highest 42.2%. In surgery, damage to the fallopian tubes was observed at 52.6%, the fallopian tubes were dilated 47.4%, fallopian tube pus 35.1%. Intervention in surgery mainly cut two fallopian 44.1%, from laparoscopic surgery to open surgery 4.5% and indicated for open surgery at the beginning 12.8%. Conclusion: Combined medical treatment of two or more antibiotic groups is the mainstay, most of the indications for surgery are the cases that do not respond to medical treatment in which laparoscopic surgery is the key.