【摘要】 目的:探讨腹腔镜手术治疗盆腔炎的安全性及疗效。方法:回顾性分析该院2005年9月～2007年11月住院治疗的急性盆腔炎或慢性盆腔炎急性发作病例45例的临床资料,腹腔镜手术+抗生素治疗组20例,保守治疗组(单纯药物组)25例,分别分析两组疗效。结果:腹腔镜组病人症状缓解时间明显短于药物组,有极显著差异(P<0.01);手术组中,急性盆腔炎病人和慢性盆腔炎急性发作的病人在盆腔粘连程度上,以及需行输卵管或附件切除的例数上均有显著差异(P<0.05)。随访期间手术组术后腹痛比例少于保守治疗组,腹腔镜手术组均未发生严重并发症。结论:具备熟练的腹腔镜操作技术对急性盆腔炎或慢性盆腔炎急性发作行腹腔镜手术是安全的。腹腔镜用于诊断盆腔炎可减少治疗的盲目性,缩短病程及治疗时间,且复发率低,安全有效。更多还原

【Abstract】 Objective:To evaluate the safety and effect of operative laparoscopy for acute pelvic inflammatory diseases (PID).Methods:45 patients with acute PID or chronic PID explode were divided into two groups.Laparoscopic group included 20 patients underwent operative laparoscopy.Medication Group included 25 patients whom underwent antibiotic treatments,the clinical data after treatment in two groups were analyzed.Results:The symptoms alleviation in laparoscopic group was faster than medication group,the difference was statistically significant (P<0.01).In laparoscopic group acute PID in pelvic adhesion,the rate of salpingectomy or accessorectomy were less than chronic PID explode (P<0.01).In our follow up period of all cases,abdominal pain in laparoscopic group was less than medication group.All patients had no preoperative complications.Conclusion:Operative laparoscopy in patients with acute PID or chronic PID explode can be safety and effectively performed by experienced laparoscopic doctor,it maybe benefit for the ability of production.更多还原