经腹及腹腔镜治疗女性盆腔脓肿比较

Laparoscopy operation and laparotomy for pelvic abscess in females:A comparative study

目的探讨女性盆腔脓肿的临床特点和处理方法。方法对1999-2010年在我院治疗的49例女性盆腔脓肿临床资料进行回顾性分析。结果盆腔脓肿大部分发生在育龄妇女,临床表现为发热、腹痛及盆腔包块,所有患者均经腹腔镜及开腹手术治疗,在术中出血、术后体温、感染及住院时间等方面前者优于后者。结论宫颈分泌物培养和MRI检查在盆腔脓肿诊断中发挥重要作用;腹腔镜手术治疗效果好,一旦确诊应尽早手术。

Objective To study the clinical features and treatment of pelvic abscess in females.Methods Clinical data about 49 patients with pelvic abscess admitted to our hospital were retrospectively analyzed.Results Pelvic abscess was usually found in females at the childbearing age with symptoms such as fever,lower abdominal pain and pelvic mass.All the patients underwent laparoscopic operation and laparotomy.The laparoscopic operation was advantageous over laparotomy in control of blood loss,fever,infection,and hospital stay time after operation.Conclusion Cervix secretion culture and MRI play an important role in the diagnosis of pelvic abscess.Laparoscopic surgery can achieve better outcomes,thus it should be done once pelvic abscess is definitely diagnosed.