腹腔镜治疗急性盆腔炎68例临床分析

Acute pelvic inflammation disease patients treated with laparoscopic surgery:an analysis of 68 cases

目的:探讨腹腔镜治疗急性盆腔炎的疗效。方法:回顾性分析68例腹腔镜下手术治疗的急性盆腔炎患者的临床资料,并与同期单纯应用抗生素的94例急性盆腔炎患者进行比较。结果:腹腔镜手术组体温恢复正常时间、平均腹痛消失时间及平均住院时间均明显短于单纯使用抗生素组[分别为(16.2±9.9)hvs(41.2±17.3)h,P=0.012;(4.2±1.7)dvs(8.5±2.4)d,P=0.005;(6.2±1.2)dvs(14.2±4.3)d,P=0.001],而两组治疗费用无显著性差异[(3 925.0±247.2)元vs(3 943.3±209.6)元,P=0.893]。结论:腹腔镜治疗急性盆腔炎安全且疗效优于传统的保守治疗,不会增加患者的治疗负担。

Objective To evaluate the therapeutic effect of operative laparoscopy for acute pelvic inflammation disease. Methods Clinical data of 68 patients with acute pelvic inflammation disease undergoing operative laparoscopy were retrospectively analyzed and compared with 94 patients with acute pelvic inflammation disease receiving antibiotic treatments in the same period. Results Time of body temperature recovery was （ 16. 2 ±9.9）h vs （41.2 ± 17.3）h, P =0. 012; time of abdominal pain relief was （4. 2± 1.7）d vs （8.5 ±2.4）d, P =0. 005; and average stay was （6.2 ± 1.2） d vs （ 14.2 ± 4. 3）d, P = 0. 001, respectively in patients undergoing laparoscopy and antibiotic treatment. Yet the cost had no significant difference between two groups,being（3925.0 ± 247.2）Yuan vs （3 943.3 ± 209.6）Yuan, P = 0. 893. Conclusion Laparoscopic operation in patients with acute pelvic inflammation disease is safety and effective, superior to the traditional expectant treatment, without increasing the cost of therapy.