腹腔镜与超声介入技术治疗盆腔脓肿对比分析  

Comparative analysis of laparoscope techniques and ultrasound-guided intervention technique in treatment of pelvic abscess

作　　者：孙晓玲[1] 钟伟兰[1] Sun Xiaoling;Zhong Weilang(The Traditional Chinese Medicine Hospital of Zhongshan City,Zhongshan,Guangdong 528400)

机构地区：[1]中山市中医院,广东中山528400

出　　处：《基层医学论坛》2020年第34期4914-4916,共3页The Medical Forum

摘　　要：目的对比超声介入穿刺引流术与腹腔镜治疗盆腔脓肿的临床价值。方法回顾性分析2017年1月-2019年12月在我院就诊的盆腔脓肿患者31例,其中抗生素+腹腔镜组(A组)15例,抗生素+超声介入穿刺组(B组)16例,观察2组腹痛好转情况、体温恢复情况、血象恢复正常时间、手术时间、抗生素使用时间、平均住院时间、脓液培养结果、包块复发率、临床并发症等。结果腹腔镜手术组和超声介入穿刺组的总有效率均为100%,2组在血象恢复正常时间抗生素使用时间、包块复发率和并发症方面无统计学差异(P>0.05);A组腹痛症状缓解所需时间较短,与B组相比差异具有统计学意义(P<0.05);而B组在手术时间、体温恢复时间住院时间和住院费用等方面均低于腹腔镜组,差异有统计学意义(P<0.05)。结论腹腔镜手术和超声介入穿刺引流术都是治疗盆腔脓肿的有效手段,但超声介入穿刺引流术安全简便、创伤小,更加经济高效,值得临床推广。Objective To evaluate the effect of ultrasound-guided percutaneous catheter drainage for pelvic abscess.Methods Data of 31 patients with pelvic abscess from January 2017 to December 2019 were retrospectively analyzed to explore the advantages and disadvantages of the two minimally invasive techniques.A retrospective analysis of 31 patients with pelvic abscess treated from January 2017 to December 2019,including 15 patients in the antibiotic+laparoscopic group(group A),antibiotics+ultrasound-guided percutaneous catheter drainage group(group B)16 For example,observe the improvement of abdominal pain,recovery of body temperature,recovery time of hemogram,operation time,antibiotic use time,average hospital stay,pus culture results,mass recurrence rate,clinical complications,etc.in two groups.Results The total effective rate of the two groups was 100%.There was no statistical difference between the two groups in the time of blood recovery,antibiotic use time,mass recurrence rate and complications(P>0.05);The time required for the relief of abdominal pain symptoms in the group A was shorter,which was statistically significant compared with the group B(P<0.05);while the operation time,temperature recovery time,hospitalization time and hospitalization cost of group B were lower than those of the laparoscopic group,The difference was statistically significant(P<0.05).Conclusion Laparoscopic surgery and Ultrasound-guided percutaneous catheter drainage are effective methods for the treatment of pelvic abscess.However,Ultrasound-guided percutaneous catheter drainage is safe,convenient,less invasive,more cost-effective,and worthy of clinical promotion.

关 键 词：盆腔脓肿 穿刺引流 超声介入 腹腔镜手术 疗效对比 

分 类 号：R711.33[医药卫生—妇产科学]