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目的：观察西药联合局部封闭治疗急慢性盆腔炎的疗效及安全性。方法对90例急慢性盆腔炎患者，随机分为试验组和对照组。试验组青霉素800万U、甲硝唑250ml静脉滴注同时联合丁胺卡那0.2、地塞米松1mg和少量利多卡因阴道侧穹窿注射；对照组青霉素800万U、甲硝唑250ml静脉滴注。结果试验组（45例）总有效率为[43/45（%）]，对照组（45例）总有效率为[36/45(%)]，两组比较，差异有显著性意义（P<0.05）。结论西药联合局部封闭治疗盆腔炎性疾病是一种安全、可靠、经济有效的治疗方法。“,”Objective: Local closed observation of western medicine combined treatment ef icacy and safety of acute or chronic pelvic inflammatory disease. Methods: In 90 cases of acute or chronic pelvic inflammatory disease patients, randomly divided into experimental group and control group. mil ion U, metronidazole 250 ml group penicil in intravenous drip combined with butylamine card at the same time the 0.2, dexamethasone 1 mg, and a smal amount of lidocaine injection lateral vaginal fornix;The control of penicil in 8 mil ion U, metronidazole 250 ml intravenous drip. Results:the total ef ective rate of trial group (45 cases) [43/45] (%), the control group (45 cases), the total ef ective rate of [36/45] (%), two groups of comparison, significant dif erences (p< 0.05). Conclusion: western medicine combined with partial closed treatment of pelvic inflammatory disease is a kind of safe, reliable, economic and ef ective treatment method.