不同时长抗感染治疗对盆腔脓肿行腹腔镜手术患者的影响

Comparison of effects of different durations of anti-infective therapy on patients with pelvic abscess undergoing laparoscopic surgery

目的:探讨不同时长抗感染治疗对盆腔脓肿行腹腔镜手术患者的影响。方法:选取78例盆腔脓肿患者为研究对象,采用随机数字表法将其分为观察组与对照组各39例。观察组采用术前3 d抗感染治疗后再接受腹腔镜手术治疗,对照组采用术前7 d抗感染治疗后再接受腹腔镜手术,比较两组手术相关指标水平、术后恢复时间、盆腔脓肿复发率和并发症发生率。结果:观察组手术时间短于对照组,术中出血量少于对照组,差异均有统计学意义(P<0.05);观察组退热时间、脓肿消失时间和住院时间等术后恢复时间均短于对照组,差异有统计学意义(P<0.05);观察组治疗总有效率为97.44%(38/39),高于对照组的79.49%(31/39),差异有统计学意义(P<0.05);观察组盆腔脓肿复发率低于对照组,差异有统计学意义(P<0.05);观察组痛经、慢性盆腔痛、月经紊乱等并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:术前3 d抗感染治疗应用于盆腔脓肿行腹腔镜手术患者可缩短手术时间和术后恢复时间,减少术中出血量,降低盆腔脓肿复发率和并发症发生率,以及提高治疗总有效率,其效果优于术前7 d抗感染治疗。

Objective:To compare effects of different durations of anti-infective therapy on patients with pelvic abscess undergoing laparoscopic surgery.Methods:78 patients with pelvic abscess were selected as the research objects,and were divided into observation group and control group by using the random number table method,39 cases in each group.The observation group received laparoscopic surgery after 3 days of anti-infection treatment,while the control group received laparoscopic surgery after 7 days of anti-infection treatment.The levels of surgery-related indicators,the postoperative recovery time,the recurrence rate of pelvic abscess and the incidence of complications were compared between the two groups.Results:The operation time of the observation group was shorter than that of the control group;the intraoperative blood loss was less than that of the control group;and the differences were statistically significant(P<0.05).The postoperative recovery time of the observation group such as fever clearance time,abscess disappearance time and hospitalization time were all shorter than those of the control group,and the differences were statistically significant(P<0.05).The total effective rate of treatment in the observation group was 97.44%(38/39),which was higher than that the control group of 79.49%(31/39),and the difference was statistically significant(P<0.05).The recurrence rate of pelvic abscess in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Further,the incidence of complications such as dysmenorrhea,chronic pelvic pain,and menstrual disorders in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:3 days of anti-infective therapy before the surgery for the patients with pelvic abscess undergoing laparoscopic surgery can shorten the operation time and the postoperative recovery time,reduce the amount of intraoperative blood loss,reduce the recurrence rate of pelvic abscess and the incidence of complications,and improve the overall treatment efficiency.Moreover,it is superior to7 days of anti-infective therapy before the surgery.