不同手术时机对盆腔脓肿患者抗感染治疗后腹腔镜手术疗效的影响

Impact of Different Surgical Timing on the Efficacy of Laparoscopic Surgery After Anti-Infective Treatment in Patients with Pelvic Abscess

目的探讨抗感染治疗后不同腹腔镜手术时机对盆腔脓肿患者疗效及安全性的影响。方法选取62例盆腔脓肿患者,随机分为两组各31例。试验组于抗感染治疗3 d后行腹腔镜手术,对照组于抗感染治疗7 d后行腹腔镜手术。比较两组的手术成功率、手术指标、术后并发症发生率以及复发率。结果两组的手术成功率、术后并发症发生率和复发率比较,差异无统计学意义(P>0.05)。试验组的手术时间、体温恢复时间均短于对照组,术中出血量多于对照组(P<0.05)。结论盆腔脓肿患者抗感染治疗3 d后行腹腔镜手术,手术时间短,术后盆腔炎症消退快,但术中出血量增加。

Objective To explore the impact of different laparoscopic surgery timing after anti-infective treatment on the efficacy and safety of patients with pelvic abscess.Methods 62 patients with pelvic abscess were selected and randomly divided into two groups,with 31 cases in each group.The experimental group received laparoscopic surgery at 3 d after anti-infective treatment,while the control group received laparoscopic surgery at 7 d after anti-infective treatment.The success rate of surgery,surgical indicators,incidence of postoperative complications and recurrence rate were compared between the two groups.Results No statistical difference was found between the two groups in the success rate of surgery,incidence of postoperative complications and recurrence rate(P>0.05).The operation time and body temperature recovery time of the experimental group were shorter than those of the control group,and the intraoperative blood loss amount was more than that of the control group(P<0.05).Conclusions Laparoscopic surgery performed at 3 d after anti-infective treatment in patients with pelvic abscess has short operation time and quick postoperative pelvic inflammation resolution,while the intraoperative blood loss amount increases.