腹腔镜手术和开腹手术治疗盆腔炎性包块的比较

Comparison of laparoscopy and laparotomy in the treatment of pelvic inflammatory masses

目的对比两种手术治疗方式(腹腔镜手术与开腹手术)在盆腔炎性包块疾病治疗中的临床疗效。方法本研究选取2018年3月至2019年2月本院收治的60例盆腔炎性包块患者作为研究对象,按治疗方法不同分成腹腔组与开腹组。腹腔组患者采取腹腔镜手术治疗,开腹组患者采取传统开腹手术治疗。对上述两组患者的手术治疗(如手术时间、出血量等)情况、手术前后T细胞亚群各项指标以及并发症发生情况等进行对比分析。结果腹腔组手术时间、排气恢复时间以及住院时间均短于开腹组,且腹腔组术中出血量少于开腹组,差异有统计学意义(P<0.05);与术前相比,两组患者术后1 d的CD3^+、CD4^+、CD8^+均明显下降,差异有统计学意义(P<0.05);腹腔组术后3 d的CD3^+、CD4^+、CD8^+指标与本组术前相比,差异无统计学意义;开腹组术后3 d的各指标与本组术前相比,差异有统计学意义(P<0.05);腹腔组并发症发生率低于开腹组(6.7%vs. 26.7%),差异有统计学意义(P<0.05)。结论对盆腔炎性包块患者实施腹腔镜手术治疗,临床效果显著,且并发症发生率低。

Objective To compare the clinical efficacy of two surgical methods(laparoscopy and laparotomy) in the treatment of pelvic inflammatory mass disease. Methods 60 patients with pelvic inflammatory mass admitted to our hospital from March 2018 to February 2019 were selected as subjects, and were divided into the abdominal group and the open group according to different treatment methods. The patients in the abdominal group were treated with laparoscopy, and the patients in the open group were treated with the traditional open surgery. The operative treatment(such as operation time, bleeding volume, etc.), the indexes of T cell subsets before and after operation and the occurrence of complications between the two groups were compared and analyzed. Results The operative time, recovery time and hospitalization time were shorter in the abdominal group than in the open group, and the amount of bleeding in the abdominal group was less than that in the open group(P<0.05). Compared with pre-operation, the CD3^+,CD4^+and CD8^+in the two groups decreased significantly on the 1 st day after operation(P<0.05), but there was no significant difference in the CD3^+, CD4^+and CD8^+in the abdominal group on the 3 rd day after operation. There was significant difference in each index in the open group 3 days after operation(P<0.05). The incidence of complications in the abdominal group was significantly lower than that in the open group(6.7% vs. 26.7%)(P<0.05). Conclusion Laparoscopic surgery for pelvic inflammatory masses has a good clinical effect and low incidence of complications.