CAJ | 학술논문

目的：探讨用腹腔镜手术联合抗生素治疗急性盆腔炎的临床疗效。方法：对2013年6月～2014年12月期间我院收治的88例急性盆腔炎患者的临床资料进行回顾性研究。我们将这88例患者随机分为观察组和对照组，每组各有44例患者。为观察组患者使用腹腔镜手术联合抗生素进行治疗，为对照组患者只使用抗生素进行治疗。治疗结束后，观察比较两组患者临床症状缓解的时间、体温恢复正常的时间、住院的时间及其病情的复发情况。结果：治疗结束后，观察组患者体温恢复正常的时间、临床症状缓解的时间、住院的时间均少于对照组患者，二者相比差异具有显著性(P<0.05)。观察组患者病情的复发率低于对照组患者，二者相比差异具有显著性(P<0.05)。结论：用腹腔镜手术联合抗生素治疗急性盆腔炎的效果显著，患者病情的复发率低。此治疗方法值得在临床上推广应用。
목적：탐토용복강경수술연합항생소치료급성분강염적림상료효。방법：대2013년6월～2014년12월기간아원수치적88례급성분강염환자적림상자료진행회고성연구。아문장저88례환자수궤분위관찰조화대조조，매조각유44례환자。위관찰조환자사용복강경수술연합항생소진행치료，위대조조환자지사용항생소진행치료。치료결속후，관찰비교량조환자림상증상완해적시간、체온회복정상적시간、주원적시간급기병정적복발정황。결과：치료결속후，관찰조환자체온회복정상적시간、림상증상완해적시간、주원적시간균소우대조조환자，이자상비차이구유현저성(P<0.05)。관찰조환자병정적복발솔저우대조조환자，이자상비차이구유현저성(P<0.05)。결론：용복강경수술연합항생소치료급성분강염적효과현저，환자병정적복발솔저。차치료방법치득재림상상추엄응용。
Objective: To evaluate the clinical efficacy of laparoscopic surgery and antibiotic treatment of acute pelvic inflammatory disease. Methods: 88 cases of patients with acute pelvic inflammatory disease were randomly divided into two groups, observation group and control group, 44 cases of patients in the observation group were treated with laparoscopic surgery combined with antibiotic treatment, Patients in the control group were only treated with conservative treatment with antibiotics, the two groups were compared with clinical symptoms remission time, temperature returned to normal time, hospital stay time and recurrence. Results: Remission time, temperature returned to normal time, length of hospital stay time of patients in observation group were significantly less than the control group, the difference was statistically significant (t1=10.062, t2=8.244, t3=7.870, all P<0.05); follow-up 3 month relapse rate of patients in the observation group was less than the control group, the difference was statistically significant (χ2= 6.065, P<0.05). Conclusion: The effect of Laparoscopic surgery and antibiotic treatment on acute pelvic inflammatory is significant,lower recurrence rate, safe and reliable, It is worthy of clinical application.