CAJ | 학술논문

目的：分析腹腔镜手术联合抗生素治疗急性盆腔炎的效果，为临床治疗提供参考。方法选择2011年3月~2014年1月在本院治疗的急性盆腔炎患者85例为研究对象，随机分为观察组及对照组。观察组给予腹腔镜手术联合抗生素治疗，对照组给予单纯静脉药物治疗，对比两组患者的临床康复情况。结果观察组的腹痛消失时间、体温恢复正常时间、白细胞恢复正常时间、住院时间均短于对照组(P<0.05)。术后6个月随访，观察组出现盆腔疼痛仅有1例，对照组为9例；观察组出现痛经为1例，对照组有4例；观察组出现月经紊乱为2例，对照组为5例；观察组复发为1例，对照组为11例。结论腹腔镜手术联合抗生素治疗急性盆腔炎患者的临床康复情况明显优于单纯静脉用药，其可在短时间内治愈，患者腹痛消失时间和住院时间短、复发率低，可积极应用该种治疗方式，提高临床治疗水平。
목적：분석복강경수술연합항생소치료급성분강염적효과，위림상치료제공삼고。방법선택2011년3월~2014년1월재본원치료적급성분강염환자85례위연구대상，수궤분위관찰조급대조조。관찰조급여복강경수술연합항생소치료，대조조급여단순정맥약물치료，대비량조환자적림상강복정황。결과관찰조적복통소실시간、체온회복정상시간、백세포회복정상시간、주원시간균단우대조조(P<0.05)。술후6개월수방，관찰조출현분강동통부유1례，대조조위9례；관찰조출현통경위1례，대조조유4례；관찰조출현월경문란위2례，대조조위5례；관찰조복발위1례，대조조위11례。결론복강경수술연합항생소치료급성분강염환자적림상강복정황명현우우단순정맥용약，기가재단시간내치유，환자복통소실시간화주원시간단、복발솔저，가적겁응용해충치료방식，제고림상치료수평。
Objective To analyze effect of laparoscopic surgery combined with antibiotics in the treatment of acute pelvic inflammatory in order to provide reference for the clinical treatment. Methods 85 patients with acute pelvic in-flammatory from March 2011 to January 2014 in our hospital were selected as study objects and randomly divided into observation group and control group.Laparoscopic surgery combined with antibiotics were used in observation group,in-travenous drug therapy alone was applied in control group.Clinical recovery of two groups was compared. Results The abdominal pain disappear time,body temperature returned to normal time,white blood cells back to normal time and hospital stay time in observation group was shorter than that in control group respectively(P<0.05).During postoperative 6 months of follow-up,there were 1 case of pelvic pain,1 case of dysmenorrheal,2 cases of menstrual disorder and 1 case of recurrence in observation group,there were 9 cases of pelvic pain,4 case of dysmenorrheal,5 cases of menstrual disorder and 11 case of recurrence in control group. Conclusion The efficacy of laparoscopic surgery combined with antibiotic therapy is significantly better than just intravenous medication.Acute pelvic inflammatory disease can be cured in a short time,abdominal pain disappeared faster,has shorter hospital stay and low recurrence by laparoscopic surgery combined with antibiotic.It has much positive significance for patients,and it can be a positive way to improve the clinical treatment level.