目的探讨抗感染治疗后对盆腔脓肿患者施行腹腔镜手术治疗的时机。方法根据腹腔镜术前抗感染治疗时间的不同将40例盆腔脓肿患者进行分组,抗感染治疗3 d后再施行腹腔镜手术者20例为观察组,同期抗感染治疗7 d后再施行腹腔镜手术者20例为对照组。比较两组术中及术后情况。结果观察组手术时间、术中出血量、住院时间明显少于对照组,两组比较,差异有统计学意义(P<0.05);两组外周血白细胞降低时间比较,差异无统计学意义(P>0.05)。观察组输卵管复通率为75.0%(12/16),高于对照组的40.0%(6/15),两组比较,差异有统计学意义(P<0.05);观察组盆腔炎复发率及痛经、慢性盆腔痛发生率明显低于对照组,两组比较,差异有统计学意义(P<0.05)。两组月经紊乱发生率比较,差异无统计学意义(P>0.05)。结论抗感染治疗3 d后对盆腔脓肿患者施行腹腔镜手术是合理、科学、有效的治疗手段,值得在临床中推广。
ObjectiveTo explore the optimal time for laparoscopic surgery after anti-infection treatment in patients with pelvic abscess. MethodsForty cases with pelvic abscess were divided into two groups according to the time of anti-infection treatment before laparoscopic surgery. Twenty cases of observation groupwere treated with anti-infection treatment for 3 days and then treated with laparoscopicsurgery. Another twenty cases of control groupwere treated with antibiotics for 7 days and then treated with laparoscopicsurgery. Intraoperative and postoperative conditions of the two groups were compared. ResultsThe operation time, blood loss, hospitalization time of observation group were lower than those of control group, the differences were statistically significant (P<0.05). There was no significant difference between the two groups in the decrease time of peripheral blood white blood cell (P>0.05). The recanalizationrate of fallopian tube of observation group was 75.0%(12/16), higher than 40.0%(6/15) of control group, the difference was statistically significant (P<0.05). The incidence of pelvic inflammatory recurrence, dysmenorrhea and chronic pelvic pain in observation group were significantly lowerthan those of control group, the differences were statistically significant (P<0.05). There was no significant difference in the incidence of menstrual disorders in two groups (P>0.05). ConclusionsPatients with pelvic abscess were treated with antibiotics for 3 days, and then laparoscopic surgery was reasonable, scientific and effective treatment, should be promoted in clinical.