腹腔镜手术治疗急性盆腔炎临床观察（附43例报告）

Clinical observation of laparoscopic surgery in the treatment of patient with acute pelvic inflammatory disease （a report of 43 cases）

目的 探讨腹腔镜手术治疗急性盆腔炎的方法及临床疗效.方法 将2009年6月至2012年5月收治的86例急性盆腔炎患者随机分为观察组及对照组,每组43例,对照组患者给予传统抗菌药物应用等治疗,观察组患者采用腹腔镜手术治疗,比较两组患者临床表现消失时间、静脉使用抗生素时间、住院时间、B超检查及随访结果.结果 观察组患者临床症状消失、抗菌药物使用、住院时间较对照组明显缩短,术后随访盆腔包块清除率及复发率均明显优于对照组,差异有统计学意义（P＜0.05）.结论 腹腔镜手术结合抗菌药物治疗急性盆腔炎创伤小、恢复快,治疗周期缩短,临床应用安全,效果确切.

Objective To investigate the method and clinical effect of laparoscopic surgery on patient with acute pelvic inflammatory disease. Methods Eighty-six cases of acute pelvic inflammatory disease from June 2009 to May 2012 were randomly divided into observation group and control group, with 43 cases in each group. The patients in control group were given tradition~ antibacterial agents, patients in observation group were given laparoscopic surgery, and the clinical manifestation disappear time, antibiotic using time by vein, hospital stays, B-ultrasonic examination and follow-up visit were compared. Results The clinical symptoms disappear time, antibiotic using time by vein and hospital stays was obviously shorter in observation group, pelvic cavity tumor clearance rate and recurrence rate was superior to that of control group, there were significant differences （P 〈 0.05 ）. Conclusions Laparoscopic surgery combined with antibacterial agents in the treatment of acute pelvic inflammatory disease has the advantages of smaller trauma, faster recovery, shorter treatment cycle, safer clinical application and exact effect.