腹腔镜手术在急性盆腔炎诊断和治疗中的应用

Application of laparoscopic surgery in diagnosis and treatment of acute pelvic inflammatory disease

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年时间,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显著性(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、反复发作的及有生育要求的患者应考虑积极手术治疗。

[Objective] To discuss the effects 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 latter 3 years than the first 3 years. The group o...