患者，女，49岁。下腹痛伴发热2天，白带增多，呈脓性，精神不振，恶心纳少，舌红，苔黄腻，脉洪数。体格检査:体温38.7t，下腹部压痛及反跳痛明显，肠鸣音消失。血常规:WBC16.46xl09/L,GRAN%84%。B超:子宫直肠窝可见液性暗区，范围32mmx34mm。该病手术指征为

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