腹腔镜手术治疗急性盆腔炎的临床价值  

Laparoscopic surgery in patients with acute pelvic inflammatory disease

作　　者：陈晨[1] 张震宇[1] 王淑珍[1] 李淑红[1] 郭淑丽[1] 

机构地区：[1]首都医科大学附属北京朝阳医院妇产科,100020

出　　处：《中国妇幼保健》2007年第21期3010-3011,共2页Maternal and Child Health Care of China

摘　　要：目的:探讨腹腔镜手术治疗急性盆腔炎的安全性及疗效。方法:回顾性分析63例急性盆腔炎或慢性盆腔炎急性发作患者的临床资料、治疗效果及复发情况,其中腹腔镜手术组(以下称腔镜组)28例,传统开腹手术组(以下称开腹组)35例。结果:腔镜组与开腹组比较,临床症状缓解、术后72 h体温降至正常、白细胞数降至正常的时间及住院时间均明显缩短,无伤口感染和肠梗阻发生,但有2例发生手术期的严重并发症。开腹组出现7例伤口感染和5例肠梗阻。追踪治疗1年后的39例病人,腹痛或腹部不适减少。结论:腹腔镜手术治疗急性盆腔炎能缩短病程,降低盆腔炎症反应,减少盆腔粘连及慢性盆腔痛,疗效显著,具有较好的临床应用价值,慎重把握好手术时机可降低手术风险。Objective： To evaluate the safety and effect of operative laparoscopy for acute pelvic inflammatory diseases （PID） . Methods ： Sixty - three women with acute PID or chronic PID explode and received operation treatment during July 2002 to June 2006 were divided into two groups. Laparoscopic surgery group included 28 patients underwent operative laparoscopy, laparotomy group included 35 patients underwent traditional abdominal operation cured, the clinical data after treatment between two groups were analyzed. Results： The symptoms alleviation, the recovery time and hospitalized days of laparoscopic surgery group were significantly less than those ofo abdominal operation group （ P 〈 0. 05 ）. 39 cases had less abdominal pain or discomfortability 1 years after following up. Conclusion： The laparoscopy operation could be recommended to treat the pelvic inflammatory diseases and laparoscopy operation is highly effective and relatively safe.

关 键 词：腹腔镜手术 开腹手术 急性盆腔炎 

分 类 号：R713[医药卫生—妇产科学]