国际妇产科学杂志

国际妇产科学杂志 ›› 2014, Vol. 41 ›› Issue (5): 555-557.

• 综述 • 上一篇    下一篇

腹腔镜在诊断和治疗盆腔炎症性疾病方面的应用

王丹丹，毕芳芳，杨清   

  1. 110004 沈阳，中国医科大学附属盛京医院妇产科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2014-10-15 发布日期:2014-10-15
  • 通讯作者: 杨清

Laparoscopy in the Diagnosis and Treatment of Pelvic Inflammatory Disease

WANG Dan-dan，BI Fang-fang，YANG Qing   

  1. Department of Obstetrics and Gynecology，Shengjing Hospital of China Medical University，Shenyang 110004，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2014-10-15 Online:2014-10-15
  • Contact: YANG Qing

PDF (PC)

4872

摘要： 盆腔炎性疾病是一组多病原学引起的生殖道感染性疾病，主要包括子宫内膜炎、输卵管炎、输卵管卵巢脓肿和盆腔腹膜炎。盆腔炎性疾病临床表现轻重不一，临床诊断准确性不高。若未能得到及时正确的诊治，盆腔炎性疾病易引起一系列后遗症，包括不孕、异位妊娠、慢性盆腔痛及炎症反复发作等，严重影响女性身心健康。腹腔镜是目前评价盆腔炎性疾病的金标准，尤其对于急性盆腔炎性疾病，不仅可以明确诊断，术中可同时获得病原微生物检测的样本，并且在诊断同时可对盆腔病变进行相应手术治疗。

关键词: 盆腔炎性疾病, 腹腔镜检查, 诊断, 治疗

Abstract: Pelvic inflammatory disease （PID） is a polymicrobial asending infection that causes inflammation of the upper genital tract, including endometritis, salpingitis, tubo-ovarian abscess and pelvic peritonitis. PID has various clinical manifestation but low accuracy rate of diagnosis. Failed to get the correct diagnosis and treatment in time, PID can cause serious sequelae including infertility, ectopic pregnancy, chronic pelvic pain and repeated attacks of inflammation, which impacts women′s physical and mental health. Laparoscopic evaluation is considered to be golden standard for PID, especially for acute PID, which is not only can help to confirm the diagnosis and obtain the pathogenic microorganism testing samples, but also at the same time can supply surgical treatment for pelvic lesions accordingly.

Key words: Pelvic Inflammatory Disease, Laparoscopy, Diagnosis, Therapy