腹腔镜手术联合药物治疗急性盆腔炎性疾病临床疗效对比分析  

A comparative analysis on clinical effect of laparoscopic surgery combined with drugs in treatment of acute pelvic inflammatory diseases

作　　者：余霞[1] 谢小敏[1] 雷燕[1] 

机构地区：[1]广西壮族自治区南溪山医院妇产科,541002

出　　处：《中国妇幼保健》2012年第18期2852-2854,共3页Maternal and Child Health Care of China

摘　　要：目的:探讨腹腔镜手术联合药物治疗急性盆腔炎性疾病的临床疗效及应用价值。方法:将72例急性盆腔炎性疾病患者随机分为腹腔镜组和对照组各36例,腹腔镜组给予腹腔镜手术联合药物治疗,对照组给予药物保守治疗,观察两组患者治疗效果及安全性。结果:腹腔镜组治疗后盆腔炎性包块持续例数、再次住院例数及盆腔疼痛例数均明显低于对照组(P<0.01),腹腔镜组术后疼痛持续时间、体温恢复正常时间、抗生素使用时间及平均住院时间均明显低于对照组(P<0.01或P<0.05)。结论:腹腔镜联合药物治疗急性盆腔炎性疾病具有疗效好、见效快、损伤小等诸多优点,是目前治疗急性盆腔炎性疾病的一种较佳方案,值得临床推广应用。Objective ： To explore the clinical effect and application value of laparoscopic surgery combined with drugs in treatment of acute pelvic inflammatory diseases. Methods ： Seventy - two patients with acute pelvic inflammatory diseases were randomly divided into laparoseopic surgery group and control group, 36 patients in each group. The patients in laparoscopic surgery group were treated with laparo- scopie surgery combined with drugs, while the patients in control group were treated with conservative treatment with drugs. The curative effects and safeties in the two groups were observed. Results： After treatment, the number of patients with persistent pelvic inflammatory masses, the number of patients going to hospital again, and the number of patients with pelvic pain in laparoscopic surgery group were signifi- cantly lower than those in control group （P 〈 0. 01 ） ; the duration time of pain, the time for temperature return to normal, the usage time of antibiotics, and the mean hospitalization time in laparoscopic surgery group were significantly lower than those in control group （P 〈 0. 01 or P 〈 0. 05 ） . Conclusion： Laparoscopic surgery combined with drugs has the advantages of good efficacy, rapid effect, and minimal injury, which is a good therapy for treatment of acute pelvic inflammatory diseases, and the method is worthy to be popularized and applied in clinic.

关 键 词：盆腔炎性疾病 腹腔镜 保守治疗 

分 类 号：R711.33[医药卫生—妇产科学]