盆腔脓肿腹腔镜治疗临床分析

Clinical Analysis of Pelvic Abscess Treated by Laparoscopic Operation

目的探讨腹腔镜手术在盆腔脓肿诊治中的价值。方法在腹腔镜下对40例盆腔脓肿行盆腔粘连松解术、输卵管积脓引流或切除,病灶清除、盆腔冲洗等操作,术后应用抗生素治疗。结果40例盆腔脓肿术后症状、体征迅速消失,均痊愈出院,无1例并发症发生,所有病例随访6个月,无1例复发,目前已有7例受孕,3例足月分娩。结论腹腔镜手术结合使用抗生素是目前治疗盆腔脓肿的高效、安全、较彻底的方法,有利于保护患者生育功能,对于未婚患者尤为适用。

Objective To investigate the value of laparoscopic operations for the diagnosis and treatments of pelvis abscess.Methods Forty patients with hospitalizing diagnosis of pelvic abscess accepted laparoscopic exploratory operation to isolate pelvic adhesion,resect focus of infection and irrigate in those cases diagnosed as pelvic abscess during operation.After operation they were treated by antibiotics.Results All patients showed remission of pelvic inflammation and physical sign.No relapse occurred.follow-up checkuping for six months in all patients.7 patients have gestated and 3 patients have had term deliveries until now.Conclusion Laparoscopy in treating pelvic abscess is feasible for its safety,minimal trauma and quick recovery.Early laparoscopy operation is benefit for protection of procreative function,especially for nonparous patients.