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目的探讨腹腔镜手术诊治急性盆腔炎的方法和作用及安全性。方法对我院2000年10月至2004年5月临床诊断为急性盆腔炎的87例患者行腹腔镜手术诊治47例,分析其诊治结果,并和40例单纯药物治疗组(对照组)比较。结果临床诊断急性盆腔炎47例经腹腔镜证实36例,符合率76.6%,腹腔镜手术组无中转开腹者,无并发症发生。腹腔镜组症状缓解及体征消失时间、静滴抗生素时间、住院日期均较对照组明显缩短。治疗后腹腔镜组腹痛复发率明显低于对照组。结论腹腔镜是诊断急性盆腔炎的金标准。腹腔镜治疗急性盆腔炎有效、安全、损伤小、可改善生育功能,有较大的临床应用价值。
Objective To explore the method and effect of laparoscopic surgery in diagnosis and treatment of acute pelvic inflammatory disease. Methods 87 cases of acute pelvic inflammatory disease diagnosed as acute pelvic inflammatory disease in our hospital from October 2000 to May 2004 were diagnosed and treated by laparoscopy. 47 cases were analyzed by laparoscopy, and the results of diagnosis and treatment were analyzed and compared with 40 cases of simple drug treatment group (control group). Results The clinical diagnosis of acute pelvic inflammation in 47 cases confirmed by laparoscopy in 36 cases, the coincidence rate of 76.6%, laparoscopic surgery group without laparotomy, without complications. Laparoscopic symptoms and symptoms disappear time, intravenous antibiotics, hospitalization dates were significantly shorter than the control group. Laparoscopy group after treatment, the recurrence rate of abdominal pain was significantly lower than the control group. Conclusion Laparoscopy is the gold standard for diagnosis of acute pelvic inflammatory disease. Laparoscopic treatment of acute pelvic inflammatory disease effective, safe, small damage, can improve fertility, a greater clinical value.