卵巢巧克力囊肿腹腔镜手术与开腹手术治疗效果的对比研究

A Comparative Study on Treatment of Ovarian Endometrial Implantation with Laparoscopy and Operation

目的 :探讨腹腔镜手术治疗卵巢巧克力囊肿的可行性及临床疗效。方法 :对 6 6例 (研究组 )采用腹腔镜手术治疗的卵巢巧克力囊肿患者与同期 70例 (对照组 )行传统剖腹手术治疗的卵巢巧克力囊肿患者临床资料进行回顾性分析 ,比较术中、术后及随访情况。结果 :术中出血量、术后排气时间、术后住院天数、术后复发率研究组明显少于对照组 (P <0 .0 1)。术后病率发生率研究组明显低于对照组 (P <0 .0 5 )。术后症状缓解率研究组明显高于对照组 (P <0 .0 5 )。手术时间两组间无统计学差异 (P >0 .0 5 )。结论 :腹腔镜手术治疗卵巢巧克力囊肿具有创伤小、术中出血少、术后排气快、术后病率低、住院天数少、术后复发少、症状缓解明显等优点 ,为卵巢巧克力囊肿的最佳治疗方式 ,值得推广应用。

Objective:To explore the clinical effect and possibility of treating ovarian endometrial implantation by laparoscopy.Methods:A prospective analysis was carried out between 66 cases(study group)ovarian endometrial implantation treated by laparoscopy and 70 cases(control group)ovarian endometrial implantation treated by conventional abdominal operation in the same time.Their detection in operation and postoperative recovery was observed.Results:The operation bleeding amount、postoperative exhaust time、hospital stay and postoperative recurrence rate in study group were remarkable less than those of control group (P< 0.01).The incidence of postoperative morbidity in study group was remarkable lower than that of control group(P< 0.05).Symptom relaxation rate in study group was remarkable higher than that of control group(P< 0.05).The operation time was not different between the two groups(P>0.05).Conclusion:Operation laparoscopy is the best treatment of ovarian endometrial implantation and has advantages of less invasion、less operation bleeding amount、more rapid postoperative exhaust、lower postoperative morbidity、shorter hospital stay、less postoperative recurrence and more remarkable symptom relaxation. It is worthy of being popularized widely.