The best treatment for hydrometra is antibiotics, and severe cases require surgical treatment. Antibiotic treatment can eliminate pathogens, improve symptoms and signs, and reduce sequelae. With appropriate antibiotic active treatment, most hydrometra can be cured. The principles of antibiotic treatment are: empirical, broad-spectrum, timely and individualized. During treatment, commonly used antibiotic regimens are: ① Take ofloxacin 400 mg orally, twice a day, or levofloxacin 500 mg orally, once a day, and take metronidazole 400 mg 23 times a day at the same time, for 14 consecutive days. ② Ceftriaxone sodium 250 mg, single intramuscular injection, or ceftriaxone sodium, single intramuscular injection, and take probenecid orally at the same time, and then switch to doxycycline 100 mg, twice a day, for 14 consecutive days, and take metronidazole 400 mg orally twice a day for 14 consecutive days; or choose other third-generation cephalosporins in combination with doxycycline and metronidazole. The route of administration of antibiotics for treatment is intravenous drip, which has a quick effect. The commonly used combination scheme is: cefoxitin sodium (or cefotetan disodium) + doxycycline. For patients with tubo-ovarian abscess, clindamycin or metronidazole can be added to more effectively fight anaerobic bacteria; clindamycin + gentamicin; ofloxacin (or levofloxacin) + metronidazole; ampicillin/sulbactam + doxycycline. |
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