Effects of 3.0T diffusion-weighted magnetic resonance imaging guided laparoscopic surgery at different time in the treatment of pelvic abscess
ZHOU Li
SUN Jing
Abstract：Objective To analyze the effects of 3.0T diffusion-weighted magnetic resonance imaging(MRI-DWI)guided laparoscopic surgery at different time in the treatment of pelvic abscess.Methods Sixty patients with pelvic abscess who were admitted to Suzhou First People's Hospital(Suzhou Branch of the Tenth People's Hospital Affiliated to Tongji University)from January 2020 to December 2023 were divided into the control group(n=30)and the observation group(n=30)using the random number table method.Patients in control group received MRI-DWI examination within 1-7 d of antibiotic therapy,and those with acute pelvic abscess confirmed by MRI-DWI were treated with laparoscopic surgery.Patients in observation group received MRI-DWI examination within 7-14 d of antibiotic therapy,and those with chronic pelvic abscess were treated with laparoscopic surgery.Laparoscopic histopathological manifestations,clinical cure rate,salpingectomy rate,operation,tubal patency rate during the follow-up period and recurrence rate of pelvic inflammatory disease were compared between the two groups.Results No conversion to laparotomy occurred in either group.Preoperative MRI staging was consistent with laparoscopic findings.The cure rate was 100%in both groups.There was no statistically significant difference in salpingectomy rate(P>0.05).Operation time,postoperative exhaust time,intraoperative blood loss and incidence of complications in observation group were significantly shorter or less than those in control group(P<0.05).The tubal patency rate in observation group was significantly higher than that in control group and recurrence rate of pelvic inflammatory disease was significantly lower than that in control group(P<0.05).Conclusion 3.0T MRI-DWI is helpful for selecting the timing of surgery for gynecological pelvic abscess.Laparoscopic surgery is more effective for patients with chronic pelvic abscess confirmed by MRI-DWI after antibiotic therapy.
Keywords：3.0T diffusion-weighted magnetic resonance imaginggynecological pelvic abscesstiming of surgery
Publication Date：2024-05-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 533-537 )