盆腔留置插管治疗慢性盆腔炎临床研究

目的　寻找一种较传统方法治疗慢性盆腔炎更为有效的临床治疗方法。方法　选择经电视腹腔镜确诊的慢性盆腔炎患者 10 3例 ,按完全随机设计分为 3组 :中药组 36例 ,应用盆腔留置插管滴入中成药盆腔炎注射液 ;西药组 33例 ,应用盆腔留置插管滴入抗生素 ;对照组 34例 ,应用静脉滴入法给予抗生素。采用临床查体及B超检查评定临床疗效。结果　西药组与中药组临床治愈率、盆腔炎性肿块消退率显著高于对照组 (P <0 .0 1或 0 .0 5 ) ,中药组与西药组比较 ,无显著性差异 (P >0 .0 5 ) ;中药组与西药组均无明显的毒副作用。结论　对于慢性盆腔炎患者 ,采用盆腔留置插管法滴入中成药盆腔炎注射液或抗生素临床疗效明显优于静脉滴入抗生素法

Clinical study of pelvic indwelling catheterization on chronic pelvic inflammatory

Objective It is to seek a more effective treatment than the traditional methods on the chronic pelvic inflammatory disease. Methods 103 patients with chronic pelvic inflammatory disease were divided into three groups at random. 36 patients in TCM group were treated with pelvic inflammatory injection through pelvic indwelling catheterization. 33 patients in western medicine group were treated with antibiotic through pelvic indwelling catheterization. 34 patients in control group were treated with antibiotic intravenously. The clinical effects in each group were evaluated according to physical examination and ultrasound B. Results Curative rate and the pelvic inflammatory lump extinctive rate in TCM group and western medicine group were significantly higher than those of control group ( P <0.01 or 0.05), while there was no obvious difference between those of TCM group and western medicine group ( P >0.05). No complication or side effect was observed in TCM group and western medicine group. Conclusion To chronic pelvic inflammatory, pelvic indwelling catheterization method with pelvic inflammatory injection or antibiotic was more effective than intravenous drip of antibiotic.