Postmenopausal Pyometra:Clinical Analysis of 8 Cases

OBJECTIVE To investigate the etiological factors,diagnosis and therapy of postmenopausal pyometra.METHODS The 8 cases of postmenopausal pyometra who hospitalized at China-Japan Union Hospital of Jilin University were retrospectively analyzed.RESULTS Postmenopausal pyometra was related with senile vaginitis,endometritis,not taking out of IUD after menopause promptly and endometrial cancer.There were 3 patients complicated with uterine perforation and 1 patient complicated with septic shock.4 patients had intrauterine dropsy with ultrasonic inspection.5 patients were cured with draining in cavitary uteri,and 3 patients were cured with operation.CONCLUSIONS The courses of postmenopausal pyometra are slow moving,with no evident clinical symptoms,which is easy to be misdiagnoed.Some have severe complications.We should prevent the disease aimed at carly diagnosis and therapy.