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目的:探讨腹腔镜手术治疗急性盆腔炎的疗效。方法:收集2006年1月～2010年5月急性盆腔炎或慢性盆腔炎发作患者的临床资料,并对其中腹腔镜组68例和开腹手术组27例进行比较。结果:腹腔镜组术后体温恢复正常时间、术后腹痛消失时间、术后排气时间、住院时间均明显缩短,术后复发率减少,无伤口感染和肠梗阻的发生。开腹组出现2例伤口感染和1例肠梗阻。结论:腹腔镜治疗急性盆腔炎安全,疗效优于开腹手术治疗。
Objective: To investigate the efficacy of laparoscopic surgery for acute pelvic inflammatory disease. Methods: The clinical data of patients with acute pelvic inflammatory disease or chronic pelvic inflammatory disease from January 2006 to May 2010 were collected. Among them, 68 cases in laparoscopic group and 27 cases in laparotomy group were compared. Results: The body temperature returned to normal after laparoscopic surgery, the duration of postoperative abdominal pain disappeared, postoperative exhaust time, hospitalization time were significantly shorter, postoperative recurrence rate decreased, no wound infection and intestinal obstruction occurred. Two cases of wound infection and one case of intestinal obstruction occurred in the open group. Conclusion: Laparoscopic treatment of acute pelvic inflammatory disease is better than laparotomy.