摘要
目的:探讨腹腔镜手术在诊断和治疗盆腔脓肿中的应用价值。方法:回顾分析本院1999年2月～2004年12月35例盆腔脓肿腹腔镜诊断和处理的临床资料。结果:34例在腹腔镜下完成手术,1例因盆腔严重粘连而中转开腹,无1例并发症。术前、术后诊断符合率72.9%(22/35)。手术时间40～80min,平均51min。术后住院5～7天,平均5.1天。术后病率7例,4天均恢复正常。术后3天血常规全部恢复正常。所有病例随访6个月,无1例复发。17例要求生育的患者于术后1～3个月行输卵管通畅检查术,13例通畅,7例已妊娠。结论:早期的腹腔镜手术有利于提高盆腔脓肿的确诊率,有利于保护患者生育功能,对于未育患者尤为适用。
Objective： To investigate the value of laparescopic operations for the diagnosis and treatment of pelvic abscess. Methods： A series of 35 patients with pelvic abscess diagnosed and treated by laparescopic technique from Fcburary 1999 to December 2004 were retrospectively analyzed. Results： Open surgery was required in 1 patient because of serious pelvic adhesions. No complications were observed. The diagnostic accordance rate before and after the laparoscopy was 72. 9% （22/35）, the duration of operation was 40 -80 min （mean, 51 rain） and the postoperative hospital stay was 5 -7 d （mean, 5. 1 d）, postoperative pyrexia occurred in7 patients, whose temperatures retuned to normal with 4 d. The blood routine examination results were restored to normal levels in all patient at 3 d after operation. No relapse occurred follow - up checkup for 6 mouths in all the patients. Fallopian tubes of 13 patients were unobstructed among 17 patients requesting for pregnancy, under fallopian tubes unobstructed at pest - operative 1 ~ 3 months. 7 patients had gestated until now. Conclusion： Early laparoscopic operations is benefit for higher diagnostic rate of pelvic abscess and for protection of procreative function, especially for un - procreation patients.
出处
《中国妇幼保健》
CAS
北大核心
2008年第28期3962-3963,共2页
Maternal and Child Health Care of China
关键词
盆腔脓肿
腹腔镜
诊断
治疗
Pelvic abscess
Laparoscopy
Diagnosis
Treatment
