[腹腔镜治疗附件脓肿。39例患者系列研究]
[Laparoscopic treatment of adnexal abscesses. A series of 39 patients].
作者信息
Raiga J, Denoix S, Canis M, Lebouedec G, Glowaczower E, Wattiez A, Pouly J L, Mage G, Manhès H, Bruhat M A
机构信息
Centre Jean-Perrin, CHU Hôtel-Dieu, Clermont-Ferrand.
出版信息
J Gynecol Obstet Biol Reprod (Paris). 1995;24(4):381-5.
OBJECTIVE
Evaluate short- and long-term follow-up of patients treated by laparoscopy and antibiotherapy for tubo-ovarian abscess.
METHODS
We report a retrospective study of 39 patients treated from January 1983 to December 1992. Clinical files were examined and a questionnaire was mailed to patients.
RESULTS
None of the patients needed to be reoperated for failure of the first laparoscopic treatment. A laparoscopic control after 3 month was done in 35 cases, which allowed complete adhesiolysis in every patients. We performed distal tubal surgery in 17 patients at that time and oriented 6 patients directly towards IVF. Subsequent fertility, in 19 patients followed without contraception, demonstrated a rate of spontaneous intra-uterine pregnancy of 63%.
CONCLUSION
This study confirms that laparoscopy remains the technique of choice in initial management of adnexal abscesses.
目的
评估采用腹腔镜和抗生素疗法治疗输卵管卵巢脓肿患者的短期和长期随访情况。
方法
我们报告了一项对1983年1月至1992年12月期间接受治疗的39例患者的回顾性研究。检查了临床档案并向患者邮寄了问卷。
结果
没有患者因首次腹腔镜治疗失败而需要再次手术。35例患者在3个月后进行了腹腔镜检查，这使得每位患者都能完全松解粘连。当时我们对17例患者进行了输卵管远端手术，并直接将6例患者导向体外受精。随后，在19例未采取避孕措施进行随访的患者中，自然宫内妊娠率为63%。
结论
本研究证实，腹腔镜检查仍然是附件脓肿初始治疗的首选技术。
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