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目的探讨腹腔镜手术治疗子宫内膜异位症的临床疗效。方法选取我院收治的子宫内膜异位症患者188例,腹腔镜组94例采取腹腔镜手术治疗,剖腹组94例剖腹手术治疗。结果两组患者均顺利完成手术治疗,腹腔镜组患者的手术时间、术中出血量和术中出血量均显著低于剖腹组患者,比较差异均具有统计学意义(P<0.05);腹腔镜组患者的术后下腹痛症状好转和缓减情况都高于剖腹组患者,但是其比较差异不具有统计学意义(P>0.05);腹腔镜组患者的术后妊娠率高于剖腹组患者,比较差异具有统计学意义(P<0.05)。结论腹腔镜手术治疗子宫内膜异位症较剖腹手术具有创伤较小、恢复较快、疗效确切、术后妊娠率较高的优势。
Objective To investigate the clinical efficacy of laparoscopic surgery for endometriosis. Methods 188 cases of endometriosis admitted to our hospital, 94 cases of laparoscopic group were treated by laparoscopy, and 94 cases of laparotomy group were treated by laparotomy. Results The patients in both groups were successfully treated with surgery. The operation time, intraoperative blood loss and intraoperative blood loss of patients in laparoscopic group were significantly lower than those in laparotomy group (P <0.05). Laparoscopy The improvement and alleviation of symptoms of lower abdominal pain in patients after operation were higher than those of patients in cesarean section, but the difference was not statistically significant (P> 0.05). The postoperative pregnancy rate of patients in laparoscopic group was higher than that of patients in cesarean section The difference was statistically significant (P <0.05). Conclusion Laparoscopic surgery for endometriosis has less trauma, faster recovery, exact effect and higher postoperative pregnancy rate than laparotomy.