临床和实验医学杂志
臨床和實驗醫學雜誌
림상화실험의학잡지
JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE
2015年
15期
1294-1296
,共3页
盆腔脓肿%腹腔镜手术%手术时机
盆腔膿腫%腹腔鏡手術%手術時機
분강농종%복강경수술%수술시궤
Pelvic abscess%Laparoscopic Surgery%Surgical timing
目的：探讨腹腔镜手术治疗盆腔脓肿的临床疗效及手术时机的选择。方法回顾分析2013年1月至2014年12月经手术治疗确诊为盆腔脓肿的临床资料。按手术方式分为腹腔镜组（24例）和开腹组（28例）。对比观察两组术中出血量、手术时间、术后体温恢复时间、术后肠功能恢复时间、住院时间、术后抗生素静点时间及伤口愈合情况。手术治疗前经抗生素治疗≤3天者为 A 组（27例），﹥3天者为 B 组（25例），对比手术时机对手术的影响。结果腹腔镜手术组无中转开腹，无术中肠、输尿管及膀胱损伤，术后伤口均为甲级愈合。术中出血量、术后体温恢复时间、术后肠功能恢复时间、住院时间等均小于开腹手术组（ P ﹤0.05），差异有统计学意义。盆腔脓肿患者手术治疗前抗生素治疗≤3天的 A 组与 ﹥3天者的 B 组相比，A 组手术时间、术中出血量、术后体温恢复时间、术后排气恢复时间均小于 B组（ P ﹤0.05），差异有统计学意义。结论腹腔镜手术具有安全、损伤小的优点，与传统开腹手术相比具有明显优势。盆腔脓肿一旦确诊，宜积极手术治疗。
目的：探討腹腔鏡手術治療盆腔膿腫的臨床療效及手術時機的選擇。方法迴顧分析2013年1月至2014年12月經手術治療確診為盆腔膿腫的臨床資料。按手術方式分為腹腔鏡組（24例）和開腹組（28例）。對比觀察兩組術中齣血量、手術時間、術後體溫恢複時間、術後腸功能恢複時間、住院時間、術後抗生素靜點時間及傷口愈閤情況。手術治療前經抗生素治療≤3天者為 A 組（27例），﹥3天者為 B 組（25例），對比手術時機對手術的影響。結果腹腔鏡手術組無中轉開腹，無術中腸、輸尿管及膀胱損傷，術後傷口均為甲級愈閤。術中齣血量、術後體溫恢複時間、術後腸功能恢複時間、住院時間等均小于開腹手術組（ P ﹤0.05），差異有統計學意義。盆腔膿腫患者手術治療前抗生素治療≤3天的 A 組與 ﹥3天者的 B 組相比，A 組手術時間、術中齣血量、術後體溫恢複時間、術後排氣恢複時間均小于 B組（ P ﹤0.05），差異有統計學意義。結論腹腔鏡手術具有安全、損傷小的優點，與傳統開腹手術相比具有明顯優勢。盆腔膿腫一旦確診，宜積極手術治療。
목적：탐토복강경수술치료분강농종적림상료효급수술시궤적선택。방법회고분석2013년1월지2014년12월경수술치료학진위분강농종적림상자료。안수술방식분위복강경조（24례）화개복조（28례）。대비관찰량조술중출혈량、수술시간、술후체온회복시간、술후장공능회복시간、주원시간、술후항생소정점시간급상구유합정황。수술치료전경항생소치료≤3천자위 A 조（27례），﹥3천자위 B 조（25례），대비수술시궤대수술적영향。결과복강경수술조무중전개복，무술중장、수뇨관급방광손상，술후상구균위갑급유합。술중출혈량、술후체온회복시간、술후장공능회복시간、주원시간등균소우개복수술조（ P ﹤0.05），차이유통계학의의。분강농종환자수술치료전항생소치료≤3천적 A 조여 ﹥3천자적 B 조상비，A 조수술시간、술중출혈량、술후체온회복시간、술후배기회복시간균소우 B조（ P ﹤0.05），차이유통계학의의。결론복강경수술구유안전、손상소적우점，여전통개복수술상비구유명현우세。분강농종일단학진，의적겁수술치료。
Objective To determine the clinical efficacy of laparoscopic surgery for pelvic abscess and to investigate the effect of surgical timing. Methods The clinical data of patients,who were diagnosed as pelvic abscess from January 2013 to December 2014,were analyzed retro-spectively. These cases were classified into laparoscopic surgery group(24 patients)and laparotomy group(28 patients). The operative time,a-mount of bleeding,body temperature recovery time,post - operative intestinal function recovery time,length of stay,antibiotics usage after surger-y,and wound healing were compared between two groups. Then,patients treated with antibiotics ≤3 days before the surgery(group A)were con-trasted to those treated with antibiotics ﹥ 3 days before the surgery(group B),in order to explore the effect of surgical timing on the surgery. Re-sults For the laparoscopic surgery group,none was converted to laparotomy,no injury of bladder,ureter,and bowel occurred during surgery, and the wound healed very well after surgery. The amount of bleeding,body temperature recovery time,post - operative intestinal function recovery time and length of stay in laparoscopic surgery group were statistically much better in comparison with those in laparotomy group( P ﹤ 0. 05). The results of operative time,amount of bleeding,body temperature recovery time,and postoperative recovery time in group A were superior to those in group B( P ﹤ 0. 05). Conclusion Compared to laparotomy,laparoscopic surgery for pelvic abscess has obvious advantages,including safety and less damage. Once pelvic abscess is confirmed,it should be treated surgically in time.
