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腹腔镜下盆腔脓肿清除术联合中药应用的疗效及预后分析 被引量:6

Efficacy and Prognosis of Laparoscopic Pelvic Abscess Removal Combined with Traditional Chinese Medicine
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摘要 目的:研究腹腔镜下盆腔脓肿清除术联合中药应用的疗效及预后。方法:选取2013年1月—2015年12月医院接诊的68例盆腔脓肿患者作为研究对象。对照组采用开腹手术进行治疗,观察组采用腹腔镜下盆腔脓肿清除术联合中药进行治疗,观察两组患者手术时间、术中出血、症状好转时间、住院时间、切口裂开未愈合情况,治疗后并发症情况,治疗疗效情况。结果:观察组手术时间(54.17±10.18)min、术中出血量(20.38±6.95)m L、症状好转时间(4.35±1.12)d、住院时间(3.96±0.84)d、切口裂开未愈合0.00%(0/34)均小于对照组(97.33±15.34)min、(56.73±11.83)m L、(7.27±2.32)d、(9.41±1.96)d、14.70%(5/34),差异具有统计学意义(P〈0.05);观察组并发症总发生率8.82%(3/34)小于对照组41.17%(14/34),差异具有统计学意义(P〈0.05);观察组总有效率94.11%(32/34)优于对照组76.47%(26/34),差异具有统计学意义(P〈0.05)。结论:腹腔镜下盆腔脓肿清除术联合中药疗效显著,能够提高治疗疗效,减少并发症的发生,有利于患者的预后。值得推广。 Objective:To study the curative effect and prognosis of laparoscopic pelvic abscess removal combined with traditional Chinese medicine.Methods:Sixty-eight cases of patients with pelvic abscess were selected from January 2013 to December 2015 in our hospital.The control group was treated with open surgery and the observation group with laparoscopic pelvic abscess removal combined with traditional Chinese medicine.The operation time,bleeding,symptom improvement time,hospital stay and wound unhealing of the two groups were observed and the treatment effect was observed.Result:In the observation group,the operation time was(54.17 ± 10.18) min,the amount of bleeding during operation was(20.38 ± 6.95)m L,the symptom improvement time was(4.35 ± 1.12)d,the length of stay was(3.96 ± 0.84) d and the wound unhealing was 0.00%(0/34),which were respectively less than the control group's(97.33 ± 15.34) min,(56.73 ± 11.83)m L,(7.27 ± 2.32)d,(9.41 ± 1.96)d and 14.70%(5/34).The difference was statistically significant(P〈0.05).The total complication rate of the observation group was 8.82%(3/34),which was less than the control group's 41.17%(14/34).The difference was statistically significant(P〈0.05).The total effective rate of the observation group was 94.11%(32/34),better than the control group's 76.47%(26/34).The difference was statistically significant(P〈0.05).Conclusion:Laparoscopic pelvic abscess removal combined with traditional Chinese medicine has obvious curative effect and can improve the curative effect and reduce the incidence of complications.It is conducive to the prognosis of patients and worthy of promoting.
作者 陈星 吴锦红 陈珊珊 孙伊娜 尚贤文 CHEN Xing, WU Jinhong, CHEN Shanshan, SUN Yinna, SHANG Xianwen (Obstetrics and Gynecology Department,Taizhou Hospital,Taizhou 317000,Zhejiang,China)
出处 《中华中医药学刊》 CAS 北大核心 2016年第12期3057-3059,共3页 Chinese Archives of Traditional Chinese Medicine
关键词 腹腔镜下 盆腔脓肿清除术 中药 疗效及预后 laparoscopic pelvic abscess removal traditional Chinese medicine curative effect and prognosis
作者简介 陈星(1967-),女,山西沁县人。主任医师,博士,研究方向:中西医结合妇科。 通讯作者:尚贤文,男,主任医师,研究方向:中西医结合妇科。
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