内异症合并盆腔脓肿的临床特点及诊治

Clinical characteristics, and diagnosis and treatment strategies of endometriosis complicated by pelvic abscess

目的研究内异症合并盆腔脓肿的临床特点及诊治策略。方法选2015年1月至2016年12月门诊收入的已确诊内异症患者109例作为研究对象。按照患者采用随机数表法将患者分为对照组55例和试验组54例,对照组行常规治疗,试验组采用常规治疗加脓肿穿刺,比较2组患者的基本临床体征、治疗后住院时间、肿块消退率、白细胞降低时间和术后复发情况。结果试验组患者治疗后平均住院时间为(11.2±2.4)d,对照组患者治疗后平均住院时间为(16.2±2.8)d,差异有统计学意义(P<0.05);试验组患者治疗后肿块消退率为83.2%,对照组患者治疗后平均住院时间为47.6%,差异有统计学意义(P<0.05);试验组患者治疗后白细胞降低时间为(3.5±1.6)d,对照组患者治疗后白细胞降低时间为(5.6±2.3)d,差异有统计学意义(P<0.05);试验组患者肠梗阻复发率为1.85%,对照组患者复发率为21.81%,差异有统计学意义(P<0.05);试验组患者菌血症复发率为3.70%,对照组患者复发率为12.72%,差异有统计学意义(P<0.05);试验组患者感染性休克复发率为5.56%,对照组患者复发率为12.72%,差异有统计学意义(P<0.05);试验组患者治疗后满意率为70.37%,对照组患者治疗后满意率为32.72%,差异有统计学意义(P<0.05)。结论常规治疗加脓肿穿刺能显著改善患者预后,显著降低患者治疗后肠梗阻病症的复发率,提高患者满意率,值得临床推广。

Objective To investigate the clinical characteristics,and diagnosis and treatment strategies of endometriosis complicated with pelvic abscess.Methods A total of 109 patients who were diagnosed as in our hospital from January 2015 to December 2016 were enrolled as research objects.According to the random number table method,the patients were divided into the control group(n=55)and the experimental group(n=54).The patients in the control group were given conventional treatment,while those in the experimental group were given conventional treatment supplemented with abscess puncture.The basic clinical signs and length of hospital stay after treatment,tumor regression rate,time course of leukopenia,and postoperative recurrence were compared between the two groups.Results After treatment,the average length of hospital stay in experimental group and control group was(11.2±2.4)d and(16.2±2.8)d,respectively,and the difference was statistically significant(P<0.05).The tumor regression rate in experimental group was 83.2%,and the average length of hospital stay in control group was 47.6%after treatment.The difference was statistically significant(P<0.05).The time course of leukopenia after treatment in the experimental group and the control group was(3.5±1.6)d and(5.6±2.3)d,respectively,which was statistically significant(P<0.05).The recurrence rate of intestinal obstruction was 1.85%in the experimental group and 21.81%in the control group,and there were significant differences(P<0.05).The recurrence rate of bacteremia in the experimental group and the control group was 3.70%and 12.72%,and the difference was statistically significant(P<0.05).The recurrence rate of septic shock in experimental group and control group was 5.56%and 12.72%,respectively,and the difference was statistically significant(P<0.05).The satisfaction rate of the patients after treatment in the experimental group and the control group was 70.37%and 32.72%,and significant differences were found(P<0.05).Conclusion Conventional treatment and abscess puncture can significantly improve the prognosis of patients,remarkably reduce the recurrence rate of postoperative intestinal obstruction,and improve patient satisfaction rate.Therefore,it is worthy of clinical popularization.