腹腔镜手术与单纯药物治疗盆腔炎的疗效比较
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【中图分类号】R713 【文献标识码】A【文章编号】1005-2720(2010)10 - 10 - 02
【摘要】目的 比较腹腔镜手术与单纯药物治疗盆腔炎的疗效。方法 将2003年1月至2006年1月间44例盆腔炎患者分为单纯药物治疗组和腹腔镜治疗组。单纯药物组21例,腹腔镜23例。结果 腹腔镜治疗组治疗后盆腔炎性包块和盆腔痛发生率与单纯药物治疗组相比差异有统计学意义(P<0.05)。结论 腹腔镜检查是诊断急性盆腔炎的较好方法。单纯药物治疗对已形成脓肿者效果不好。对无脓肿者有一定疗效,但复发率高。腹腔镜配合敏感抗菌药物是盆腔炎的最好治疗方法。
【关键词】腹腔镜手术;盆腔炎;药物治疗
【Abstract】Objective To compare the effect of laparoscopic surgery and medicine alone on pelvic inflammatory disease(PID). Methods A total of 44 patients with PID,who treated in our hospital from January 2003 to January 2006,were divided into two groups:21 in the group of medicine treatment alone,23 laparoscopic surgery group. Results Less patients with pelvic inflammatory masses and pelvic pain were found in the laparoscopic surgery group than the medicine group(P<0.05). Conclusion Laparoscopy is a gold standard in diagnosis of PID. The effect of the medicine alone is poor in treating pelvic abscess ......
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