探讨经腹腔镜手术与开腹手术治疗女性盆腔炎性包块的临床价值与疗效。

选取2007年1月至2010年11月于本院确诊为盆腔炎性包块的75例患者为研究对象，按治疗方式将其分为腹腔镜手术组(n＝51)和开腹手术组(n＝14)。采取回顾性分析方法比较两组患者的术中出血量、手术时间、住院时间和术后排气时间等(本研究遵循的程序符合佛山市第二人民医院人体试验委员会制定的伦理学标准，得到该委员会批准)。两组患者年龄、病程及临床症状比较，差异无显著意义(P>0.05)。

腹腔镜手术组与开腹手术组术中出血量、手术时间、住院时间和术后排气时间比较，差异均有显著意义(P<0.05)。

腹腔镜手术治疗盆腔炎性包块创伤小，疗效优于传统开腹手术，可作为临床治疗该病的主要方法。

To study the feasibility and value of laparoscopic surgery and laparotomy for pelvic inflammatory mass.

From January 2007 to November 2010, 75 women with pelvic inflammatory mass were included in the study, and divided into laparoscopic surgery group(n=51) and laparotomy group(n=14). The study protocol was approved by the Ethical Review Board of Investigation in the Second people's Hospital of Foshan. Informed consent was obtained from each patient. There had no significant difference between two groups among age, pathogenesis, clinical symptoms(P>0.05).

There were significant differences in blood loss volume, duration of operation, hospital stay and anal exhaust time between laparoscopic surgery group and laparotomy group(P<0.05).

Laparoscopic surgery is more effective method to treat pelvic inflammation mass than laparotomy.