腹腔镜保守性手术治疗重度盆腔子宫内膜异位症的临床研究

Clinical study of serious pelvic endometriosis treated with old-line laparoscope operation

目的探讨腹腔镜保守性手术治疗重度盆腔子宫内膜异位症的临床价值。方法将50例需行保守性手术治疗的重度盆腔子宫内膜异位症患者随机分成两组,研究组25例采用腹腔镜手术,对照组25例,采用传统的开腹手术。结果两组手术时间比较差异无显著性(P>0.05);两组术中出血量、术后病率及术后恢复等差异有显著性(P<0.05);两组术后症状缓解率、术后复发率、术后妊娠率差异无显著性(P>0.05)。结论腹腔镜处理盆腔子宫内膜异位症手术视野清晰,容易发现和切除直肠、阴道和输尿管上的异位病灶,而且手术创伤小,住院时间短,术后恢复快。腹腔镜保守性手术治疗重度盆腔子宫内膜异位症具有与开腹手术同样的效果或优于开腹手术。

Objective: To explore the clinical value of serious pelvic endometriosis treated with old-line laparoscope operation. Methods: Fifty cases of patient with serious pelvic endometriosis were random divided into two groups, research group and control group, each group including 25 cases. The research group was treated with laparoscope operation and the control group was treated with traditional abdominal operation. Results: There were no differences in operation time and postoperative symptom relaxation rate, relapse rate, pregnancy rate between two groups (all P>0.05). But there were significant differences in bleeding during operation, postoperative malady rate,postoperative recovery between two groups (all P<0.05). Conclusions: Laparoscope operation treating pelvic endometriosis possess of many advantages, such as surgical visual field being clear,easily discovering and resecting the heterotopia focus on rectum, vagina and uretero, furthermore, operation wound being small, hospitalization time being short, postoperative recovery being quick. For serious pelvic endometriosis, the efficacy of laparoscope operation is equal to or is above that of traditional abdominal operation.