腹腔镜联合中药灌肠治疗急性盆腔炎的临床研究

Clinical research of laparoscopic operation plus traditional Chinese medicine enema in acute pelvic inflammation

目的比较腹腔镜联合中药灌肠与单一腹腔镜手术治疗急性盆腔炎的疗效。方法将70例盆腔炎患者随机分为两组,试验组35例行腹腔镜手术,从术前1 d开始辅用中药保留灌肠,每日1次,连续7 d;对照组35例行单一腹腔镜手术。观察两组体温恢复正常时间、腹痛缓解时间、肛门排气时间、术后3 d白细胞恢复正常例数及术后1年内复发例数。结果试验组患者术后体温恢复正常时间、腹痛缓解时间、术后排气时间、术后随访1年复发例数均较对照组少,差异有统计学意义(P<0.05)。结论腹腔镜手术联合中药灌肠治疗急性盆腔炎疗效确切,复发率低。

Objective To compare the clinical efficacy of laparoscopic operation combined with traditional Chinese medicine enema to merely laparoscopic operation in the therapy of acute pelvic inflammation. Methods Seventy patients with acute pelvic inflammation were randomly divided into 2 groups： experimental group, which were treated with laparoscopic operation combined with traditional Chinese medicine enema from the day before operation（once each day, taken 7days as a therapeutic coarse）, and the control group, which were merely treated with laparoscopic operation. The time of body temperature returning to normal, abdominal pain remission, passage of gas by anus, the total number of patients with white blood cell count returning to normal in 3rd day postoperatively, and the postoperative recurrence rate within one year were compared between the two groups. Results The time of body temperature returning to normal, abdomen pain remission, and passage of gas by anus, and the postoperative recurrence rate within one year were significantly less in the experimental group than those in the control group（P＞0.05）.Conclusion Combined application of laparoscopic operation combined with traditional Chinese medicine enema is effective in the treatment of patients with acute pelvic inflammation with low recurrence rate.