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目的观察腹腔镜治疗子宫内膜异位症的临床疗效。方法 147例子宫内膜异位症患者,其中75例采用腹腔镜手术(LA组),72例采用传统开腹手术(OA组),观察比较两组术中、术后情况及复发率。结果 LA组手术时间、肛门排气时间、术后住院时间及术中出血量均少于OA组,比较差异具有统计学意义(P<0.05)。两组痛经、性交痛、慢性盆腔痛、月经紊乱改善率及2年复发率比较差异无统计学意义(P>0.05)。结论腹腔镜与开腹手术治疗子宫内膜异位症疗效相当,但其手术创伤小,术后恢复快,可在临床积极应用。
Objective To observe the clinical efficacy of laparoscopy in the treatment of endometriosis. Methods One hundred and seventy - seven patients with endometriosis were enrolled in this study. Among them, 75 cases were treated with laparoscopic surgery (LA group) and 72 cases were treated with conventional laparotomy (OA group). The intraoperative, postoperative and recurrence rates were compared between the two groups. Results The operation time, anus exhaust time, postoperative hospital stay and intraoperative blood loss in LA group were less than those in OA group. The difference was statistically significant (P <0.05). Two groups of dysmenorrhea, painful intercourse, chronic pelvic pain, improvement of menstrual disorders and 2-year recurrence rate difference was not statistically significant (P> 0.05). Conclusions Laparoscopy and laparotomy are effective in the treatment of endometriosis. However, the surgical trauma is small and the postoperative recovery is quick. It can be used clinically.