摘要
目的探讨腹腔镜手术诊治急性盆腔炎的方法和作用及安全性。方法对我院2000年10月至2004年5月临床诊断为急性盆腔炎的87例患者行腹腔镜手术诊治47例,分析其诊治结果,并和40例单纯药物治疗组(对照组)比较。结果临床诊断急性盆腔炎47例经腹腔镜证实36例,符合率76.6%,腹腔镜手术组无中转开腹者,无并发症发生。腹腔镜组症状缓解及体征消失时间、静滴抗生素时间、住院日期均较对照组明显缩短。治疗后腹腔镜组腹痛复发率明显低于对照组。结论腹腔镜是诊断急性盆腔炎的金标准。腹腔镜治疗急性盆腔炎有效、安全、损伤小、可改善生育功能,有较大的临床应用价值。
Objective To evaluate the value of operative laparoscopy in the diagnosis and treatment of acute pelvic inflammatory disease. Methods From October 2000 to May 2004,47 patients with acute pelvic inflammatory disease were treated with laparoscopy and 40 patients were treated with drug as control. The results were campared between two groups. Results 36 patients were verified in laparoscopy group,the coincidence rate of clinical diagnosis with laparoscopy was 76.6%, all operative laparoscopy were successfully completed and no complication happened. The period of clinical symptoms improved, the duration of antibotics used, the hospital stayed, the recurrent rate were all significantly less than those of control group. Conclusion Laparoscopy is a gold standard in diagnosis of acute pelvic inflammatory disease. The treatment of laparoscopy in acute pelvic inflammatory disease is effective, safe and less damage, laparoscopy can improve female reproduction.
出处
《临床急诊杂志》
CAS
2006年第1期6-7,共2页
Journal of Clinical Emergency
关键词
急性盆腔炎
腹腔镜
Acute pelvic inflammatory disease
Laparoscopy
