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目的探讨腹腔镜手术在盆腔脓肿诊治中的价值。方法在腹腔镜下对40例盆腔脓肿行盆腔粘连松解术、输卵管积脓引流或切除,病灶清除、盆腔冲洗等操作,术后应用抗生素治疗。结果40例盆腔脓肿术后症状、体征迅速消失,均痊愈出院,无一例并发症发生,所有病例随访6个月,无一例复发,目前已有7例受孕,3例足月分娩。结论腹腔镜手术结合使用抗生素是目前治疗盆腔脓肿的高效、安全、治愈较彻底的方法,有利于保护患者生育功能,对于未婚患者尤为适用。
Objective To investigate the value of laparoscopic surgery in the diagnosis and treatment of pelvic abscess. Methods Laparoscopic pelvic abscess pelvic adhesions lysis, tubal effusion drainage or resection, removal of lesions, pelvic irrigation and other operations, postoperative antibiotics. Results The symptoms and signs of 40 cases of pelvic abscess disappeared rapidly after operation. All cases were cured and discharged without any complications. All patients were followed up for 6 months without any recurrence. At present, 7 cases have been conceived and 3 cases have full - term delivery. Conclusions Laparoscopic surgery combined with antibiotics is the most effective, safe and complete cure for pelvic abscess. It is helpful to protect the reproductive function of patients and is especially suitable for unmarried patients.