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目的:探讨腹腔镜手术在诊断和治疗盆腔脓肿中的应用价值。方法:回顾分析本院1999年2月～2004年12月35例盆腔脓肿腹腔镜诊断和处理的临床资料。结果:34例在腹腔镜下完成手术,1例因盆腔严重粘连而中转开腹,无1例并发症。术前、术后诊断符合率72.9%(22/35)。手术时间40～80min,平均51min。术后住院5～7天,平均5.1天。术后病率7例,4天均恢复正常。术后3天血常规全部恢复正常。所有病例随访6个月,无1例复发。17例要求生育的患者于术后1～3个月行输卵管通畅检查术,13例通畅,7例已妊娠。结论:早期的腹腔镜手术有利于提高盆腔脓肿的确诊率,有利于保护患者生育功能,对于未育患者尤为适用。
Objective: To investigate the value of laparoscopic surgery in the diagnosis and treatment of pelvic abscess. Methods: A retrospective analysis of our hospital from February 1999 to December 2004 35 cases of pelvic abscess laparoscopic diagnosis and treatment of clinical data. Results: In the laparoscopic operation, 34 cases underwent laparoscopic surgery and one case underwent open laparotomy due to severe pelvic adhesions. No other complication occurred. The coincidence rate of preoperative and postoperative diagnosis was 72.9% (22/35). Surgery time 40 ~ 80min, an average of 51min. Postoperative hospital 5 to 7 days, an average of 5.1 days. Postoperative disease in 7 cases, 4 days were back to normal. 3 days after the blood routine returned to normal. All cases were followed up for 6 months without any recurrence. Seventeen patients requiring fertility underwent tubal patency 1 to 3 months postoperatively, 13 were open and 7 were pregnant. Conclusion: Early laparoscopic surgery is helpful to improve the diagnosis rate of pelvic abscess, which is helpful to protect the reproductive function of patients and is especially suitable for infertile patients.