腹腔镜治疗盆腔脓肿40例临床分析
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李正芬

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R711.33

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Laparoscopic operation in the treatment  of 40 cases of pelvic abscess
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    摘要:

    目的探讨腹腔镜治疗盆腔脓肿的临床应用价值。方法回顾性分析某院2005年6月—2008年6月经腹腔镜手术治疗的40例盆腔脓肿患者病历资料。结果术中见输卵管及卵巢脓肿并盆腔粘连10例,输卵管积脓18例,直肠子宫陷凹脓肿12例。手术成功率100%。全部患者术后第2~3天体温恢复正常,术后4天复查血常规正常。保留输卵管的30例患者,18例术后3个月回院行输卵管通液术,均示输卵管通畅。术后随访32例患者一年,均无复发,妊娠8例。结论腹腔镜手术是目前较为理想的治疗盆腔脓肿的微创手术方法之一,有利于保护患者生育功能,对于未生育者尤为适用。

    Abstract:

    ObjectiveTo evaluate the clinical value of laparoscopic operation in treating pelvic abscess.MethodsClinical data of 40 pelvic abscess patients who  received different laparoscopic operations from June,2005 to June, 2008 were analysed retrospectively. ResultsAmong 40 patients, 10 cases were found abscess of fallopian tube and ovary and pelvic cavity adhesion, 18 were  pyosalpinx, and 12 were rectouterine excavation abscess. All patients were operated successfully under laparoscope, their body temperature returned to normal after 2~3 days of operation,and blood routine value returned to normal after 4 days of operation.Thirty patients preserved ovaries, 18 patients  underwent tubal patent test by liquid instillation showed unobstructed ovries.One year followup of 32 patients showed no recurrent,8 patients were pregnant. ConclusionLaparoscopic operation is one of the ideal therapy for treating pelvic abscess, which is beneficial to the pretecting of  reproductive function,especially for unmarried  patients.

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李正芬,郭遂群.腹腔镜治疗盆腔脓肿40例临床分析[J]. 中国感染控制杂志,2009,8(3):186-188.
LI Zhengfen, GUO Suiqun.
Laparoscopic operation in the treatment  of 40 cases of pelvic abscess[J]. Chin J Infect Control, 2009,8(3):186-188.

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  • 收稿日期:2008-10-15
  • 最后修改日期:2008-12-11
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  • 在线发布日期: 2009-05-30
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