腹腔鏡手術治療盆腔膿腫的臨床分析

Clinical study of laparoscopy in the pelvic abscess.

目的探討腹腔鏡手術在盆腔膿腫治療中的價値。方法回顧分析本院於2003年1月至2005年12月住院病人中臨床診斷爲盆腔膿腫患者共20人,將患者分爲腹腔鏡手術治療組及盆腔膿腫保守治療組,對比觀察其住院時間、抗菌素用量及症狀緩解時間。結果腹腔鏡手術組無論住院時間、抗菌素用量及症狀緩解時間均較盆腔膿腫保守治療組明顯縮短(PV0.05)。結論腹腔鏡檢查術足診斷盆腔膿腫的標準。腹腔鏡手術療法能快速清除膿腫病灶、減少住院時間及抗菌素用量,是一種有效治療盆腔膿腫的方法。

Objective To explore the curative effect and clinical value of laparoscopy in the treatment of pelvic abscess.Methods From January 2003 to December 2005,20 pelvic abscess patients were divided into intravenous infusion(iv drip)group(n=8)and laparoscopy operation group(n=12),the hospitalization days,quantity of antibiotic and curative period were compared.Results The hospitalization days,quantity of antibiotic and curative period of laparoscopy operation group were obviously less than that of intravenous infusion group(P<005).Conclusion Laparoscopy is a standard in diagnosis of pelvic inflammatory disease.Laparoscopy operation can clear the abscess quickly,reduce the quantity of antibiotic and is an effective method to cure the pelvic abscess.