摘要
目的:探讨腹腔镜手术治疗盆腔脓肿的临床疗效及安全性。方法:回顾分析为62例盆腔脓肿患者行腹腔镜手术联合抗生素规范治疗的临床资料,根据病灶破坏程度、脓肿部位及有无生育要求等采取不同的手术方式,观察术中、术后患者一般情况、手术时间、出血量、住院时间、并发症及术后随访等。结果:62例均顺利完成手术,无一例中转开腹,术后患者临床症状均消失。无一例发生膀胱、输尿管、肠道损伤、切口感染、肠梗阻、肠粘连等并发症。结论:腹腔镜手术安全有效,尤其传统治疗无效的患者临床疗效显著,是目前诊治盆腔脓肿较理想的方法,值得推广应用。
Objective：To explore the clinical efficacy and safety of laparoscopic surgery for pelvic abscess.Methods：The clinical data of 62 patients of pelvic abscess who underwent laparoscopic surgery combined with standard antibiotic therapy were retrospectively analyzed.Different surgical procedures were applied according to the extent of the damage,position of the abscess and fertility requirements.The general condition,operative time,blood loss,hospital stay,complications and postoperative follow-up were observed.Results：All the 62 operations were successful and none was converted to laparotomy.All the clinical symptoms disappeared postoperatively.None complication,such as bladder,ureter,bowel injury,wound infection,bowel obstruction or intestinal adhesions occurred.Conclusions：Laparoscopic surgery is safe and effective,especially in the patients after invalid conventional therapy,is an ideal diagnostic and therapeutic method for pelvic abscess and is worth popularization.
出处
《腹腔镜外科杂志》
2013年第1期77-79,共3页
Journal of Laparoscopic Surgery
关键词
盆腔炎性疾病
盆腔脓肿
腹腔镜检查
治疗结果
Pelvic inflammatory disease
Pelvic abscess
Laparoscopy
Treatment outcome
