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目的比较腹腔镜手术和介入治疗盆腔脓肿的临床疗效。方法选取2013年7月—2015年8月吴桥县人民医院收治的盆腔脓肿患者84例,随机分为对照组与观察组,各42例。对照组患者予以腹腔镜手术治疗,观察组予以介入治疗。观察两组患者临床疗效、手术时间、术中出血量、复发率、并发症发生率、白细胞计数降低时间以及C反应蛋白水平降低时间。结果观察组患者总有效率、白细胞计数降低时间以及C反应蛋白水平降低时间与对照组比较,差异无统计学意义(P>0.05)。观察组患者手术时间短于对照组、术中出血量少于对照组、复发率、并发症发率低于对照组,差异有统计学意义(P<0.05)。结论腹腔镜手术和介入治疗盆腔脓肿的临床疗效显著,较腹腔镜手术而言,介入治疗的手术时间短、术中出血量少,同时其可降低术后复发率及并发症发生率。
Objective To compare the clinical effects of laparoscopic surgery and interventional treatment of pelvic abscess. Methods Eighty-four patients with pelvic abscess treated in Wuqiao County People’s Hospital from July 2013 to August 2015 were randomly divided into control group and observation group, with 42 cases in each group. Patients in the control group were treated with laparoscopic surgery and the observation group was treated by interventional therapy. The clinical efficacy, operative time, intraoperative blood loss, recurrence rate, the incidence of complications, the time of white blood cell count decrease and the time of C-reactive protein decreased were observed. Results The total effective rate, the time of reducing white blood cell count and the decreasing time of C-reactive protein in the observation group were not significantly different from those in the control group (P> 0.05). The operation time of the observation group was shorter than that of the control group, and the amount of bleeding during the operation was less than that of the control group. The recurrence rate and the incidence of complications were lower than those of the control group (P <0.05). Conclusion Laparoscopic surgery and interventional treatment of pelvic abscess clinical significant effect, compared with laparoscopic surgery, interventional surgery shorter operative time, less blood loss, while it can reduce the postoperative recurrence rate and the incidence of complications.