卵巢子宫内膜异位囊肿手术方式的探讨

Evaluation of surgical methods in ovarian endometriosis

[目的]通过对开腹和腹腔镜下卵巢子宫内膜异位囊肿剥除术的比较,探讨腹腔镜在子宫内膜异位症诊疗中的价值。[方法]回顾性分析了2000年1月-2005年6月于大连医科大学第一临床学院妇科实施的开腹（89例）和腹腔镜下（67例）卵巢子宫内膜异位囊肿剥除术的手术情况。两组患者术后随访12-76个月。对两组患者术中情况、术后恢复情况、复发情况及住院费用等进行了比较。[结果]腹腔镜组术中出血（87.4±59.3）mL少于开腹组（209.8±137.5）mL（P〈0.05）。前者术后肛门排气时间（〈24 h者59/67）、下床活动时间（〈24 h者61/67）及住院天数（5.9±2.8）d亦较后者明显缩短,〈24 h者34/89,〈24 h者41/89,8.2±3.6 d）（均为P〈0.05）。[结论]腹腔镜在子宫内膜异位囊肿治疗中具有安全、有效、微创的特点,适合于广泛开展,但应严格掌握指征。

[ Objective] To compare cystrectomy laparoscopicly and laparotomicly in treatment for ovarian endometriosis, and to evaluate laparoscopy in ovarian endometriosis therapy. [ Methods] Patients with ovarian endometriosis were separated into two groups, laparoscopic cystectomy and laparotomy cystectomy guroup, who were followed up postoperatively for 12 -72 months. The operative and postoperative situations, symptoms remission, disease recurrent rate and costs in hospital were analyzed retrospectively. [ Results ] The amount of blood lost during operation in laparoscopic cystectomy was significantly less than that in laparotomy. The postoperative recovery was better in lapaoroscopic group and the operation time and hospitalization time was shorter. [ Conclusion.] Laparoscopic treatment of endometriosis is safety, effective, micro - invasive.