腹腔镜联合腹腔药物灌注治疗急性盆腔炎156例临床分析

Clinical Analysis on Therapeutic Effect of Combining Laparoscopic Operation with Intra- abdominal Drug Transfusion in Treating 156 Cases of Acute Pelvic Inflamma tory Patients

目的：探讨腹腔镜联合腹腔药物灌注治疗急性盆腔炎的疗效。方法：回顾性分析156例腹腔镜下手术联合术后腹腔药物灌注治疗急性盆腔炎患者的临床资料，并与同期单纯应用抗生素的109例急性盆腔炎患者进行比较。结果：腹腔镜手术联合腹腔药物灌注组体温恢复正常时间、平均腹痛消失时间及平均住院时间及术后复发率均明显优于单纯使用抗生素组，而两组治疗费用无显著性差异。结论：腹腔镜手术联合腹腔药物灌注治疗急性盆腔炎安全且疗效好。

Objective： To explore the therapeutic effect of combining laparoscopic operation with intra- abdominal drug transfusion to treat the acute pelvic inflammatory disease. Methods： Clinical data of patients with acute pelvic inflammatory disease treated in our bospital from Apr, 2003 to May, 2007 were compared and retrospectively analyzed, in which 156 cases have received therapeutic alliance of laparcscopic operation and intra - abdominal drug transfusion, and 109 cases have only received treatment with antibiotics. Results： As compared with group of antibiotics, in group of therapeutic alliance, time of patient＇s temperature returning to normal, time of patient＇s abdominal pain abolition and patient＇s average stay are shorter, and recurrence rate is significantly reduced. Additionally, patient＇s medical cost in the two groups was not significantly different. Conclusion： The therapeutic effect of combining laparoscopic operation with intra - abdominal drug transfusion to treat the acute pelvic inflammatory disease is better than expectant treat- ment, and it can not significantly increase the patient＇s medical cost.