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目的:进一步分析研究腹腔镜手术及利用CT引导经皮穿刺引流的方法来治疗盆腔脓肿的临床疗效。方法:通过对66例盆腔脓肿患者的回顾分析,其中进行腹腔镜手术治疗的患者有36例,进行CT引导经皮穿刺引流治疗的有30例,两种方法进行比较。结果:腹腔镜手术时间相比介入治疗时间要长,并且腹腔镜手术的出血量相比介入治疗的出血量较高,但比较差异具有统计学的意义(P<0.01)结论:CT引导下经皮穿刺引流是治疗盆腔脓肿的理想方法,其治疗创伤性小于腹腔镜手术,治疗效果也与腹腔镜手术相同,但其复发率却明显低于腹腔镜手术。
Objective: To further analyze the clinical efficacy of laparoscopic surgery and CT-guided percutaneous drainage for the treatment of pelvic abscess. Methods: A retrospective analysis of 66 patients with pelvic abscess, including 36 patients undergoing laparoscopic surgery, CT-guided percutaneous drainage of 30 cases, the two methods were compared. Results: The time of laparoscopic surgery was longer than that of interventional therapy, and the amount of bleeding in laparoscopic surgery was higher than that of interventional therapy, but the difference was statistically significant (P <0.01). Conclusion: Percutaneous puncture and drainage is an ideal method for the treatment of pelvic abscess. The treatment of traumatic lesion is less than that of laparoscopic surgery. The curative effect is also the same as that of laparoscopic operation, but the recurrence rate is obviously lower than that of laparoscopic operation.