腹腔镜治疗盆腔脓肿40例临床分析

目的 探讨腹腔镜治疗盆腔脓肿的临床应用价值。方法回顾性分析某院2005年6月-2008年6月经腹腔镜手术治疗的40例盆腔脓肿患者病历资料。结果术中见输卵管及卵巢脓肿并盆腔粘连10例，输卵管积脓18例，直肠子宫陷凹脓肿12例。手术成功率100％。全部患者术后第2～3天体温恢复正常，术后4天复查血常规正常。保留输卵管的30例患者，18例术后3个月回院行输卵管通液术，均示输卵管通畅。术后随访32例患者一年，均无复发，妊娠8例。结论腹腔镜手术是目前较为理想的治疗盆腔脓肿的微创手术方法之一，有利于保护患者生育功能，对于未生育者尤为适用。

Laparoscopic operation in the treatment of 40 cases of pelvic abscess

Objective To evaluate the clinical value of laparoscopic operation in treating pelvic abscess. Methods Clinical data of 40 pelvic abscess patients who received different laparoscopic operations from June, 2005 to June, 2008 were analysed retrospectively. Results Among 40 patients, 10 cases were found abscess of fallopian tube and ovary and pelvic cavity adhesion, 18 were pyosalpinx, and 12 were rectouterine excavation abscess. All patients were operated successfully under laparoscope, their body temperature returned to normal after 2--3 days of operation, and blood routine value returned to normal after 4 days of operation. Thirty patients preserved ovaries, 18 patients underwent tubal patent test by liquid instillation showed unobstructed ovries. One year follow-up of 32 patients showed no recurrent,8 patients were pregnant. Conclusion Laparoscopic operation is one of the ideal therapy for treating pelvic abscess, which is beneficial to the pretecting of reproductive function, especially for unmarried patients.