腹腔镜手术治疗盆腔脓肿的临床效果分析  

Analysis of Clinical Effect of Laparoscopic Surgery in Treatment of Pelvic Abscess

作　　者：唐月玲[1] 马金波[1] Tang Yueling;Ma Jinbo(Gynecology Department,Jinhu County People's Hospital,Huaian 211600,Jiangsu Province,China)

机构地区：[1]金湖县人民医院妇科,江苏淮安211600

出　　处：《中国社区医师》2024年第34期43-45,共3页Chinese Community Doctors

摘　　要：目的:分析腹腔镜手术治疗盆腔脓肿的临床效果。方法:选取2019年8月—2023年12月金湖县人民医院收治的70例盆腔脓肿患者作为研究对象,通过随机数字表法分为参照组与试验组,各35例。参照组采取开腹手术治疗,试验组采取腹腔镜手术治疗。对比两组手术相关指标、术后恢复情况、并发症发生情况、临床疗效以及随访结果。结果:试验组手术时间短于参照组,术中出血量少于参照组(P<0.001)。试验组术后引流量少于参照组,术后首次进食时间、术后首次下床活动时间早于参照组,住院时间短于参照组(P<0.05)。试验组并发症总发生率低于参照组(P=0.021)。试验组治疗总有效率高于参照组(P<0.001)。与参照组相比,试验组盆腔脓肿复发率及慢性盆腔痛率发生更低(P<0.001)。结论:与开腹手术比较,腹腔镜手术治疗盆腔脓肿的临床效果显著,能够缩短手术时间,减少术中出血量、术后引流量、并发症,促进患者康复。Objective:To analyze the clinical effect of laparoscopic surgery in treatment of pelvic abscess.Methods:A total of sev⁃enty patients with pelvic abscess who were admitted to Jinhu County People's Hospital between August 2019 and December 2023 were selected as the study subjects.They were allocated into a reference group and an experimental group according to random number table approach,with 35 patients in each group.The reference group underwent open surgery,while the experimental group underwent laparoscopic surgery.The surgery related indicators,postoperative recovery,occurrence of complications,clini⁃cal efficacy,and follow-up results were compared between the two groups.Results:The operation time in the experimental group was shorter than that in the reference group,and the intraoperative blood loss in the experimental group was less than that in the reference group(P<0.001).The postoperative drainage volume in the experimental group was less than that in the refer⁃ence group,the time of first postoperative eating and the time of first postoperative ambulation in the experimental group were earlier than those in the reference group,and the length of hospital stay in the experimental group was shorter than that in the ref⁃erence group(P<0.05).The total incidence of complications in the experimental group was lower than that in the reference group(P=0.021).The total effective rate of treatment in the experimental group was higher than that in the reference group(P<0.001).Compared with the reference group,the experimental group had lower recurrence rate of pelvic abscess and lower incidence of chronic pelvic pain(P<0.001).Conclusion:Compared with open surgery,laparoscopic surgery has significant clinical effects in treatment of pelvic abscess,and can shorten operation time,reduce intraoperative blood loss,postoperative drainage volume and complications,and promote the recovery of patients.

关 键 词：盆腔脓肿 开腹手术 腹腔镜手术 脓肿清除率 并发症 

分 类 号：R642[医药卫生—外科学]