腹腔镜手术在急慢性盆腔感染性疾病诊治中的应用  

Application of laparoscopic operations for acute or chronic pelvic inflammatory diseases

作　　者：龙雯晴[1] 沈立翡[1] 喇端端[1] 唐中园[1] 沈育红[1] 

机构地区：[1]上海第二医科大学附属瑞金医院妇产科 上海微创外科医学中心,上海200025

出　　处：《中国微创外科杂志》2005年第8期657-658,共2页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的探讨腹腔镜手术在诊断和治疗急慢性盆腔感染性疾病(pelvic inflammatory disease,PID)中的应用价值.方法回顾分析我院1999年1月～2003年12月,我院83例PID腹腔镜诊断和处理的临床资料. 结果 2例慢性PID因盆腔严重粘连而中转开腹.无一例并发症.术前、术后诊断符合率为63.9%(53/83),其中急性PID组为74.3%(26/35),慢性PID组为56.2%(27/48).35例急性PID组手术时间20～75 min,平均44.7 min;术后住院3～12 d,平均6.2 d;术后病率28例,5 d内均恢复正常;术后2 d血常规恢复正常26例.48例慢性PID组手术时间20～130 min,平均75 min;术后住院2～8 d,平均5.5 d;术后病率5例,3 d内均恢复正常;术后2 d血常规恢复正常42例.全部病例均随访3个月,无一例复发. 结论及时腹腔镜手术有利于提高PID的确诊率,有利于PID的治疗和并发症的预防.Objective To investigate the value of laparoscopic operations for the diagnosis and treatment of acute or chronic pelvic inflammatory diseases （PID）. Methods A series of 83 patients with PID diagnosed and treated by laparoscopic technique from January 1999 to December 2003 were retrospectively analyzed. Results Conversions to open surgery were required in 2 patients because of serious pelvic adhesions. No complications were observed. The diagnostic accordance rate before and after the surgery was 63.9% （53/83） ： 74.3% （26/35） in patients with acute PID and 56.2% （27/48） in patients with chronic PID. Among 35 patients with acute PID, the duration of operation was 20 ~ 75 min （ mean, 44.7 min） and the postoperative hospital stay was 3 ~ 12 d （ mean,6.2 d）. Postoperative pyrexia occurred in 28 patients, whose temperatures returned to normal within 5 days. The blood routine examination results were restored to normal levels in 26 patients at 2 clays after operation. Out of 48 patients with chronic PID, the length of operation was 20- 130 min （mean, 75 min） and the postoperative hospital stay, 2 -8 d （mean, 5.5 d）. Postoperative pyrexia occurred in 5 patients and a complete recovery of temperature was observed within 3 days. The blood routine examinations revealed normal findings in 42 patients at 2 clays after operation. Follow - up checkups for 3 months in all the patients found no relapse. Conclusions Prompt application of laparoscopic operations is of importance in increasing diagnostic accuracy, improving curative efficacy, and preventing possible complications.

关 键 词：盆腔感染性疾病 腹腔镜 

分 类 号：R713[医药卫生—妇产科学]