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目的观察中药灌肠联合腹腔镜手术治疗盆腔脓肿的效果。方法选取盆腔脓肿患者109例,根据患者用药指征分为观察组56例和对照组53例,对照组予腹腔镜手术治疗,观察组在对照组基础上于术前1d开始辅用中药灌肠治疗,随访6个月,观察、比较2组症状缓解时间、住院时间、痛经发生率、盆腔炎症复发率等。结果观察组症状缓解时间和住院时间均显著短于对照组(P<0.05);观察组痛经发生率及盆腔炎症复发率均低于对照组(P<0.05)。结论中药灌肠联合腹腔镜手术治疗盆腔脓肿,能够有效缓解患者痛苦,明显改善其临床症状,降低痛经发生率与盆腔炎症复发率,值得临床推广应用。
Objective To observe the effect of traditional Chinese medicine enema combined with laparoscopic surgery for pelvic abscess. Methods A total of 109 patients with pelvic abscess were selected and divided into observation group (56 cases) and control group (53 cases) according to patients’ indications. The control group was treated by laparoscopic surgery. On the basis of the control group, , Followed up for 6 months, observed and compared 2 groups of symptom relief time, hospital stay, the incidence of dysmenorrhea, pelvic inflammatory disease recurrence rate. Results The symptom relief time and hospital stay in observation group were significantly shorter than those in control group (P <0.05). The incidence of dysmenorrhea and the recurrence rate of pelvic inflammation in observation group were lower than those in control group (P <0.05). Conclusions Chinese medicine enema combined with laparoscopic surgery for pelvic abscess can effectively alleviate the patient’s pain, significantly improve their clinical symptoms, reduce the incidence of dysmenorrhea and pelvic inflammatory disease recurrence rate, worthy of clinical application.