腹腔镜手术治疗急性盆腔炎54例临床分析

The clinical analysis of laparoscopy in the treatment of acute pelvic inflammatory disease: a report of 54 cases

目的:探讨腹腔镜手术治疗急性盆腔炎的临床应用价值。方法:随机将2011年2月至2012年10月54例急性盆腔炎患者分为腹腔镜组与对照组,腹腔镜组行腹腔镜手术加抗生素治疗,对照组应用抗生素行单纯保守治疗。结果:腹腔镜组术后患者症状缓解时间、住院时间明显短于对照组,病情复发率、月经紊乱、盆腔痛、痛经等情况明显少于对照组,两组临床疗效差异有统计学意义(P<0.05)。结论:腹腔镜手术治疗急性盆腔炎具有疗效好、创伤小、康复快、手术并发症少、复发率低、安全性好等优点,不仅可明确诊断,还可获得病原微生物诊断的样本,并分离粘连恢复正常解剖关系,值得进一步推广应用。

Objective： To explore the clinical value of laparoscopy in the treatment of acute pelvic inflammatory disease. Meth- ods：From Feb. 2011 to Oct. 2012,54 patients diagnosed as acute pelvic inflammatory disease were randomly divided into the laparo- scopic group （patients underwent laparoscopic operation and antibiotic） and the control group （only underwent antibiotic treatment）. Results：The time of symptom relief and the hospital stay in the laparoscopic group were significantly less than those in the control group. Follow-up data showed that the rate of symptom relapse, menstrual disorder, pelvic pain and dysmenorrhoea were less in the lapa- roscopie group than those in control group （ P 〈 0.05 ）. Conclusions： Laparoscopy in the treatment of acute pelvic inflammatory disease is effective, safe and mini-invasive, has advantages of quick recovery, few complications and recurrence incidence. Laparoscopy can get not only definite diagnosis, but also specimen for classification of pathogenic microorganism. Anatomy relationship could return to normal after separation of adhesion. This procedure is worth clinical popularization and further application.