腹腔镜手术在急性盆腔炎治疗中的应用

刘雪梅

（陕西省咸阳市长武县人民医院，陕西 咸阳，713600）

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摘要：

目的 研究腹腔镜手术在急性盆腔炎治疗中的效果。方法 对2012年3月至2016年2月因急性盆腔炎入住我院的124例患者进行研究，采用随机数字表法将124例患者分为对照组和研究组，每组62例。研究组患者进行腹腔镜手术+抗生素治疗，对照组患者采取单纯静脉给药治疗。对比两组患者的腹痛消失时间、体温恢复时间、白细胞恢复时间、住院时间，治疗前、后的CRP、WBC、体温以及术后盆腔包块数目、再次手术发生率、盆腔疼痛发生率。结果 研究组患者的腹痛消失时间、体温恢复时间、白细胞恢复时间、住院时间分别为（3.34±1.72）、（3.12±0.98）、（3.46±1.62）、（8.21±1.52）d，显著低于对照组的（5.56±1.95）、（6.06±1.45）、（6.37±1.11）、（13.37±2.34）d（P<0.05）；治疗后，两组患者的CRP、WBC、体温均下降（P<0.05），研究组的 CRP、WBC、体温低于对照组（P<0.05）。研究组术后盆腔包块数目、再次手术发生率、盆腔疼痛发生率均低于对照组（P<0.05）。结论 采用腹腔镜手术诊断和治疗急性盆腔炎具有良好的临床效果，值得在临床上推广使用。

关键词：腹腔镜；急性盆腔炎；盆腔包块

中图分类号：R713文献标志码：A文章编号：2096-1413(2017)26-0068-02

Application of laparoscopic surgery in the treatment of acute pelvic inflammatory disease
LIU Xue-mei
(Changwu County People``s Hospital, Xianyang 713600, China)

ABSTRACT: Objective To study the effect of laparoscopic surgery in the treatment of acute pelvic inflammatory disease. Methods One hundred and twenty-four cases of patients with acute pelvic inflammatory disease admitted in our hospital from March 2012 to February 2016 were studied, and divided into control group and study group according to random number table method, with 62 cases in each group. The patients in the study group were treated with laparoscopic surgery and antibiotics, whlie the patients in the control group were treated with intravenous injection alone. The disappearance time of abdominal pain, recovery time of body temperature, leukocyte recovery time, length of hospital stay, and CRP, WBC, body temperature before and after treatment, number of postoperative pelvic mass, re-operation rate and pelvic pain were compared between the two groups. Results The disappearance time of abdominal pain, temperature recovery time, leukocyte recover time and hospitalization time in the study group were (3.34±1.72), (3.12±0.98), (3.46±1.62), (8.21±1.52) d respectively, which were significantly lower than (5.56±1.95), (6.06±1.45), (6.37±1.11), (13.37±2.34) d in the control group (P<0.05). After treatment, the levels of CRP, WBC and body temperature decreased in both groups (P<0.05), and the levels of CRP, WBC and body temperature in the study group were lower than those in the control group (P<0.05). The number of  pelvic mass, incidence rates of re-operation and pelvic pain in the study group were significantly lower than those in the control group (P<0.05). Conclusion Laparoscopic surgery applied in the diagnosis and treatment of acute pelvic inflammatory disease can achieve a good clinical effect, which is worthy of clinical use.
KEYWORDS: laparoscopy; acute pelvic inflammatory disease; pelvic mass

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