腹腔镜手术治疗急性盆腔炎的临床评价

目的 :探讨腹腔镜手术治疗急性盆腔炎的安全性及疗效。方法 :回顾性分析我院 1 998年 1月～ 2 0 0 0年1 0住院治疗的急性盆腔炎或慢性盆腔炎急性发作病例 97例的临床资料 ,腹腔镜手术 +抗生素治疗组 (A组 )4 4例 ,保守治疗组 (B组 ) 53例 ,分析两组治疗后情况结果 :A组病人症状缓解时间短于B组 ,有极显著差异(P <0 .0 1 ) ;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 ,以及须行输卵管或附件切除的例数上均有显著差异 (P <0 .0 5)。追踪治疗后 2年病人 65例 ,手术组术后腹痛比例少于保守治疗组。慢性盆腔炎病人手术或保守治疗后输卵管造影 6例全部有输卵管或盆腔结构破坏。手术组均无腹腔镜操作引起的围手术期并发症。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治疗是安全的 ,治疗途径可能更利于保存生育能力

LAPAROSCOPIC SURGERY IN PATIENTS WITH ACUTE PELVIC INFLAMMATORY DISEASE

Objective: To evaluate the safety and effect of operative laparoscopy for acute pelvic inflammatory diseases (PID). Methods: Ninty-seven women with acute PID or chronic PID explode were divided into two groups . Group A included 44 patients underwent operative laparoscopy.Groups B included 53 patients underwent antibiotic treatments, the clinical data after treatment in two groups were analyzed.Results:The symptoms alleviation in group A is faster than Group B, the difference is statistically significant ( P <0.01). In Group A, acute PID in pelvic adhesion, the rate of salpingectomy or accessorectomy were less than chronic PID explode ( P <0.01).Observe 65 cases for two years, abdominal pain in Group A is less than Group B. There were tube or pelvic destruction in 6 patients of chronic PID. All patients had no perioperative complications. Conclusions: Operative laparoscopy in patients with acute PID or chronic PID explode can be safety and effectively performed by experienced laparoscopists, it maybe benifit for the ability of production.