腹腔镜手术在急性盆腔炎诊断和治疗中的应用  

Application of Iaparoscopic surgery in the diagnosis and treatment of acute pelvic inflammatory disease

作　　者：金丽萍[1] 冯力民[1] 梁竹巍[1] 魏静[1] 王恩杰[1] 

机构地区：[1]首都医科大学附属北京天坛医院,北京100050

出　　处：《中华腔镜外科杂志（电子版）》2008年第1期15-18,共4页Chinese Journal of Laparoscopic Surgery(Electronic Edition)

摘　　要：目的探讨腹腔镜手术在急性盆腔炎诊断和治疗中的作用。方法回顾分析2001年5月～2007年5月因急性盆腔炎在北京天坛医院妇科住院治疗的73例患者,治疗方法分为腹腔镜手术+药物治疗组和单纯药物治疗组。结果2001年5月～2007年5月的6年期间,后3年与前3年比较,腹腔镜手术+药物治疗方式比例显著提高(P<0.05);腹腔镜手术+药物治疗组盆腔炎性包块持续存在例数、复发再住院例数及抗生素平均使用天数显著少于单纯药物治疗组(P<0.05),平均住院天数两组差异无统计学意义(P>0.05);腹腔镜手术组误诊6例,临床诊断符合率为81.25%。结论腹腔镜手术是急性盆腔炎诊断的金标准,对于临床诊断不明确、盆腔包块较大、反复发作的、有生育要求的患者应考虑积极手术治疗。Objective To discuss the effect of laparoscopic surgery in the diagnosis and treatment of acute pelvic inflammatory disease.Methods 73 cases diagnosed as acute pelvic inflammatory disease in Beijing Tian Tan Hospital from May,2001 to May,2007 were retrospectively analyzed.All the patients were divided into 2 groups：laparoscopic surgery combined with medication and pure medication.Results There was a higher percent of laparoscopic surgery in the second 3 years than the first 3 years.The group of laparoscopic surgery combined with medication had less mass persistent, recurrence rate and antibiotics than the group of pure medication group（P〈0.05.But the duration of the hospitalization had no difference between the two groups（P〉0.05.There was six cases of misdiagnosis in laparoscopic surgery combined with medication group,the diagnose accordance rate was 81.25%. Conclusions Laparoscopic surgery is a gold standard of diagnosis of acute pelvic inflammatory disease, and patients with unclear diagnosis,comparatively large pelvic masses,recurrent attacks and fertility requirements should take surgical treatment into consideration.

关 键 词：腹腔镜手术 急性盆腔炎 治疗 

分 类 号：R713[医药卫生—妇产科学]