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目的:分析盆腔炎性包块实施不同手术治疗的方法和效果。方法:以重庆市潼南区人民医院2015年1月至12月收治的52例盆腔炎性包块患者,随机分为两组,对照组(开腹手术)、观察组(腹腔镜手术)各26例。观察术后并发症情况,比较手术指标和恢复时间及手术效果。结果:观察组手术时间、排气恢复时间、住院时间、出血量(75.3±12.6)min、(1.3±0.2)d、(6.4±1.2)d、(48.7±11.0)m L,对照组为(121.5±18.0)min、(2.8±0.5)d、(11.6±2.8)d、(216.0±34.5)m L,差异具有统计学意义(P<0.05)。术后并发症发生率两组分别为3.8%、15.4%,组间比较,差异无统计学意义(P>0.05)。结论:针对盆腔炎性包块的治疗,腹腔镜手术优于开腹手术,表现在恢复时间短、并发症少,有利于改善患者预后。
Objective: To analyze the method and effect of different surgical treatment for pelvic inflammatory mass. Methods: Fifty-two patients with pelvic inflammatory masses admitted from January 2015 to December 2015 in Tongnan District People’s Hospital of Chongqing were randomly divided into two groups: control group (laparotomy), observation group (laparoscopic surgery) 26 cases. Observe the postoperative complications, and compare the operation indexes and recovery time and the effect of surgery. Results: The operation time, exhaust recovery time, hospitalization time, blood loss in observation group were (75.3 ± 12.6) min, (1.3 ± 0.2) d, (6.4 ± 1.2) days and (48.7 ± 11.0) 121.5 ± 18.0) min, (2.8 ± 0.5) d, (11.6 ± 2.8) d and (216.0 ± 34.5) m L, respectively. The difference was statistically significant (P <0.05). The incidence of postoperative complications in the two groups were 3.8% and 15.4% respectively. There was no significant difference between the two groups (P> 0.05). Conclusion: For pelvic inflammatory mass treatment, laparoscopic surgery is superior to open surgery, manifested in the recovery time is short, fewer complications, is conducive to improving the prognosis of patients.