盆腔炎性包块经腹腔镜手术治疗的临床效果探讨

The Clinical Effect of Laparoscopic Surgery for Pelvic Inflammatory Mass

目的盆腔炎性包块经腹腔镜手术治疗的临床效果观察。方法单纯随机择选于2016年8月—2019年8月时间段内该院收治的106例盆腔炎性包块患者为对象进行研究分析,随机分成两组,对照组与实验组,对照组接受开腹手术,实验组接受腹腔镜手术。比较两组患者手术相关指标、术后免疫功能与生活质量。结果实验组术中出血量(61.26±15.07)mL、手术时间(41.15±12.11)min、住院时间(5.53±0.91)d,少于对照组的(93.64±27.73)mL、(53.75±17.52)min、(8.74±2.26)d,差异有统计学意义(t=7.469、4.307、9.592,P<0.05)。实验组CD3+(60.67±12.64)%、CD8+(29.60±6.59)%、IL-18(169.75±34.62)pg/mL高于对照组的(51.84±8.12)%、(21.57±7.46)%、(150.36±45.49)pg/mL;IL-10(40.02±6.47)pg/mL低于对照组(50.41±8.06)pg/mL,差异有统计学意义(t=4.279、5.873、2.469、7.318,P<0.05);实验组心理功能评分(72.21±9.73)分、躯体功能评分(70.38±9.68)分、社会功能评分(70.57±9.71)分、生活状态评分(70.95±9.35)分,均高于对照组的(66.55±9.15)分、(64.15±8.75)分、(63.18±7.15)分、(65.18±7.27)分,差异有统计学意义(t=3.085、3.476、4.462、3.547,P<0.05)。结论盆腔炎性包块患者经腹腔镜手术治疗,不仅操作简便,创伤性较小,还能改善患者的免疫功能,有利于患者实现早期康复,获取更好的生活质量。

Objective To observe the clinical effect of laparoscopic surgery for pelvic inflammatory mass.Methods Random select 106 patients with pelvic inflammatory mass admitted to the hospital from August 2016 to August 2019 were selected for research and analysis.They were randomly divided into two groups,the control group and the experimental group,the control group received open surgery,and the experimental group received laparoscopic surgery.The related indexes of surgery,postoperative immune function and quality of life were compared between the two groups.Results In the experimental group,intraoperative blood loss(61.26±15.07)mL,operation time(41.15±12.11)min,hospitalization time(5.53±0.91)d was less than(93.64±27.73)mL,(53.75±17.52)min,(8.74±2.26)d in the control group,the difference was statistically significant(t=7.469,4.307,9.592,P<0.05);the experimental group CD3+(60.67±12.64)%,CD8+(29.60±6.59)%,IL-18(169.75±34.62)pg/mL,higher than(51.84±8.12)%,(21.57±7.46)%,(150.36±45.49)pg/mL,and IL-10(40.02±6.47)pg/mL of the control group,lower than that of the control group(50.41±8.06)pg/mL,the difference was statistically significant(t=4.279,5.873,2.469,7.318,P<0.05);experimental group psychological function(72.21±9.73)points,physical function(70.38±9.68)points,social function(70.57±9.71)points,life status scores(70.95±9.35)points were higher than those of the control group(66.55±9.15)points,(64.15±8.75)points,(63.18±7.15)points,(65.18±7.27)points,the difference was statistically significant(t=3.085,3.476,4.462,3.547,P<0.05).Conclusion Laparoscopic surgery for patients with pelvic inflammatory mass is not only easy to operate,less traumatic,but also improves the patient's immune function,which is beneficial to the patient to achieve early recovery and obtain a better quality of life.