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目的:探讨腹腔镜诊治术治疗急性盆腔炎的手术最佳时机。方法:采用回顾性方法分析我院自2012年4月至2014年2月收治的采用腹腔镜治疗的60例急性盆腔炎患者的病例资料,将其分为实验组和对照组,两组各30例。其中,30例实验组患者自发病到手术的时间在72h之内,对照组患者的时间大于72h,观察比较两组患者的平均手术、术后疼痛、平均住院、肝门排气时间;中转开腹率;并发症的发生情况。结果:实验组患者的平均手术、术后疼痛、平均住院、肝门排气时间明显比对照组短,中转开腹率也明显比对照组低(P<0.05);且两组患者行腹腔镜诊治术后腹腔感染、胸腔积液、腹痛等并发症的发生情况不具有显著差异性(P>0.05)。结论:腹腔镜诊治术治疗急性盆腔炎最好在病发后72 h之内施行手术,把握住最佳的手术时机其术后患者情况可以明显有所改善。
Objective: To explore the best timing of laparoscopic surgery for acute pelvic inflammatory disease. Methods: A retrospective analysis of our hospital from April 2012 to February 2014 admitted to the laparoscopic treatment of 60 cases of acute pelvic inflammatory disease in patients with cases, divided into experimental group and control group, the two groups of 30 example. Among them, 30 patients in the experimental group from onset to surgery within 72h, the control group patients for more than 72h, observed and compared the two groups of patients with the average surgery, postoperative pain, the average hospitalization, hilar discharge time; Abdominal rate; the incidence of complications. Results: The average operation time, postoperative pain, average hospitalization, and hilar exhaust time in the experimental group were significantly shorter than those in the control group and were significantly lower than those in the control group (P <0.05). Laparoscopy Postoperative diagnosis and treatment of intra-abdominal infection, pleural effusion, abdominal pain and other complications did not have significant differences (P> 0.05). Conclusion: Laparoscopic diagnosis and treatment of acute pelvic inflammatory disease is best performed within 72 hours after the onset of surgery, to grasp the best timing of surgery after surgery patients can be significantly improved.