腹腔镜手术联合抗生素治疗盆腔炎的临床效果

Clinical effect of laparoscopic surgery combined with antibiotics in the treatment of pelvic inflammatory disease

目的 探讨腹腔镜术联合抗生素治疗盆腔炎的临床效果.方法 选取2017年1月~2018年12月我院收治的50例盆腔炎患者作为研究对象,按照随机数字表法将其分为对照组(25例)和研究组(25例).对照组采用单纯静脉药物治疗,研究组采用腹腔镜术联合抗生素治疗方法.比较两组的体温恢复正常时间、白细胞恢复正常时间、腹痛消失时间、住院时间、盆腔疼痛发生率、月经紊乱发生率、痛经发生率及复发率指标.结果 研究组体温恢复正常时间为(2.55±0.56)d,白细胞恢复正常时间为(2.51±0.41)d,腹痛消失时间为(2.11±0.76)d,住院时间为(6.77±1.21)d,均短于对照组的(6.53±1.56)、(5.36±1.57)、(4.79±1.22)、(12.23±3.66)d,差异有统计学意义(P<0.05).研究组的盆腔疼痛发生率(4.00%)、月经紊乱发生率(8.00%)、痛经发生率(4.00%)及复发率(4.00%)均低于对照组(36.00%、24.00%、20.00%、40.00%),差异有统计学意义(P<0.05).结论 腹腔镜术与单纯药物治疗盆腔炎的效果显著,可在较短时间内治愈盆腔炎,且病症复发率极低,治疗效果显著.

Objective To investigate the clinical effect of laparoscopic surgery combined with antibiotics in the treatment of pelvic inflammatory disease.Methods Fifty patients with pelvic inflammatory disease admitted to our hospital from January 2017 to December 2018 were enrolled in the study.They were divided into control group(25 cases)and study group(25 cases)according to the random number table method.The control group was treated with intravenous drug alone,and patients in the study group were treated with laparoscopic and antibiotic therapy.The normal temperature of the two groups of patients,the normal time of white blood cell recovery,the time of disappearance of abdominal pain,the length of hospital stay,the incidence of pelvic pain,the incidence of menstrual disorders,the incidence of dysmenorrhea and the recurrence rate were compared.Results The normal temperature of the study group was(2.55±0.56)d,the normal time of leukocyte recovery was(2.51±0.41)d,the time of disappearance of abdominal pain was(2.11±0.76)d,and the hospital stay was(6.77±1.21)d.They were shorter than that of the control group(6.53±1.56),(5.36±1.57),(4.79±1.22),(12.23±3.66)d,and the differences were statistically significant(P<0.05).The incidence of pelvic pain(4.00%),incidence of menstrual disorders(8.00%),incidence of dysmenorrhea(4.00%),and recurrence rate(4.00%)were lower than that of the control group(36.00%,24.00%,20.00%,40.00%),the differences were statistically significant(P<0.05).Conclusion Laparoscopic surgery and drug-only treatment of pelvic inflammatory disease are effective,can cure pelvic inflammatory disease in a short time,and the recurrence rate of the disease is extremely low,and the treatment effect is remarkable.