超声介入联合盆炎消治疗女性盆腔脓肿的价值

Value of Ultrasound-guided Intervention Combined with Penyanxiao in the Treatment of Female Pelvic Abscess

目的探讨超声介入联合盆炎消对女性盆腔脓肿的临床价值。方法选取咸阳市中心医院2015年10月~2020年1月期间收住的女性盆腔脓肿患者共79例,依照数字表法随机分为观察组和对照组,采用超声介入联合盆炎消治疗,并分别于术前、术后10天内、20天及30天行临床症状评估及超声检查以评价其疗效及安全性。结果经治30日后观察组总有效率明显高于对照组(95.1%vs 78.9%),症状消失时间及住院时间均明显短于对照组,住院费用明显低于对照组,两组比较差异均有统计学意义(P=0.000)。经腹壁置管引流患者的总有效率明显高于经阴道穿刺抽液的患者(98.1%vs 64.0%)。观察组总不良反应发生率略高于对照组(19.5%vs 15.8%),两组比较差异无统计学意义(χ^(2)=0.187,P=0.665)。结论超声介入联合口服盆炎消中药方剂的中西医结合疗法明显提高了盆腔脓肿患者的愈后、改善了女性的生殖健康,具有一定的临床推广应用价值。

Objective To study the efficacy of ultrasound-guided intervention combined with penyanxiao in the treatment of female pelvic abscess.Methods A total of 79 female patients with pelvic abscess admitted to Xianyang Central Hospital from October 2015 to January 2020 were selected and randomly divided into observation group and control group according to the random number table method.Ultrasound-guided intervention combined with penyanxiao were used and the curative effect were observed,and clinical symptoms and ultrasound examination were recorded before operation,10 days,20 days and 30 days after operation to evaluate the clinical efficacy and safety.Results After 30 days of treatment,the total effective rate of the observation group was significantly higher than that of the control group(95.1%vs 78.9%),the symptom disappearance time and hospitalization time of the observation group were significantly shorter than those of the control group,and the hospitalization expenses were significantly lower than those of the control group(P=0.000).The total incidence of adverse reactions in the observation group was slightly higher than that in the control group(19.5%vs 15.8%),and there was no significant difference between the two groups(χ2=0.187,P=0.665).Conclusion Ultrasound-guided intervention combined with penyanxiao decoction can significantly improve the recovery of patients with pelvic abscess and restoring female reproductive health.,which has certain clinical application value.