腹腔镜治疗急性盆腔炎的临床分析

Clinical investigation of laparoscopic treatment in acute pelvic inflammatory disease

目的探讨急性盆腔炎早期行腹腔镜检查治疗的临床意义及效果。方法选择25例2006年7月至2008年7月急性盆腔炎的患者,比较腹腔镜治疗的患者与抗生素保守治疗的患者的治疗效果、结局以及随访情况。结果腹腔镜组的患者腹痛消失时间、体温恢复时间、白细胞恢复时间及住院天数均明显优于对照组,且治疗后复发情况明显低于对照组,输卵管通畅率显著大于对照组,差异有统计学意义(P<0.05)。结论腹腔镜手术是诊断治疗急性盆腔炎安全有效的手段。

Objective To investigate the clinical significance and effect of early laparoscopic examination and treatment in acute pelvic inflammatory disease. Methods Twenty-five patients with acute pelvic inflammatory disease hospitalized in our hospital from July 2006 to July 2008 were selected. The effects of treatment,outcome and follow-up visit were compared between the groups of laparoscopic treatment and antibiotic treatment. Results The group of laparoscopic treatment was superior to the group of antibiotic treatment in disappearance time of abdominal pain, recovery time of temperature and white blood cell,days of hospitalization. Furthermore,there were obviously fewer recurrence and higher tubal patency rate in the group of laparoscopic treatment （P〈0.05）. Conclusion The laparoscopic surgery is a safe and effective treatment for acute pelvic inflammatory disease.