经腹腔镜治疗子宫内膜异位囊肿569例临床分析

Clinical analysis of 569 uterus cysts via laparoscope

目的探讨腹腔镜在子宫内膜异位症治疗中的手术方式和临床效果。方法对该院2003年12月～2008年12月569例子宫内膜异位囊肿患者接受腹腔镜手术的治疗方式及效果进行回顾性分析研究。结果 569例患者均行腹腔镜下子宫内膜异位囊肿手术,其中一侧肿块剥除术288例,双侧肿块剥除173例,一侧附件切除加对侧病灶剥除术98例,子宫及一侧附件切除加对侧病灶剥除术6例,子宫及双附件切除4例,上述术中同时行电凝、烧灼腹膜等处的异位病灶,分离粘连,行通液术58例,术后服用孕激素类药物。569例术者中有生育要求的58例,23例术后半年妊娠,另30例术后一年半妊娠,5例未孕;总有效率55%。115例痛经者症状完全缓解97例,部分缓解17例,总有效率80%。结论腹腔镜手术治疗卵巢子宫内膜异位囊肿是一个安全有效的方法,通过研究发现手术能改善患者的生活质量,对合并不孕者,可同时治疗,提高妊娠率。

[Objective] To To investigate on endometriosis operation mode of treatment and the clinical effect.[Methods] Collecting December 2003 to December 2008 569 examples within the membrane ectopic cyst patients in our hospital treatment and accept laparoscopic surgery were retrospectively analysed.[Results] 569 patients laparoscopic next uterus cyst operation,including mass removal 288 cases of art,bilateral bump divest 173 routines,side to side with attachments resection was 98 strip lesions,uterine and side to side with attachments resection 6 cases of strip lesions,uterine and double annex 4 cases,resection of intraoperatie simultaneously,burning peritoneal of ectopic lesions,separation,569 through liquid arcane adhesion,after taking 58 cases of pregnancy hormone drugs.The family is required,23 patients after 58 cases of pregnancy,and the other half a year and a half after 30 cases of pregnancy,5 cases not pregnant,The total effective 55%.115 patients who dysmenorrhea,alleviate symptoms of 97 percent of 17 cases,the total effective rate.[Conclusion] laparoscopic surgery treatment ovarian endometriosis cyst is a safe and effective method,through the research found that surgery can improve the quality of life of the patients of merger,the treatment of infertility,and improve pregnancy rate.