腔镜手术对卵巢子宫内膜异位囊肿合并不孕的疗效分析

Efficacy of laparoscopic surgery in infertile women with ovarian endometrial cyst

目的:卵巢子宫内膜异位囊肿合并不孕症患者经腔镜手术后的疗效分析。方法:卵巢子宫内膜异位囊肿合并不孕症患者86例,腹腔镜下囊肿剥出术46例,剖腹囊肿剥出术40例,对照分析。结果:术中出血量、术后用药日、术后住院日、术后妊娠率两组比较有统计学意义(P<0.05)。右侧卵巢子宫内膜异位囊肿治疗后的妊娠率高于左侧和双侧。结论:腹腔镜手术治疗卵巢子宫内膜异位囊肿合并不孕症与经腹手术组具有相似的治疗效果,且疗效更优于经腹手术组。

Objectives： To investigate the efficacy of laparoscopic surgery in infertile women with ovarian endometrial cyst. Methods： Eighty- six infertile women with cndomctrial cyst were divided into two groups. One group （46 cases） was performed with laparoseopy, and the other group （40 cases） was performed with the conventional abdominal surgery. Results： Two groups had significant differences in intraoperative blood loss, postoperative medication time, postoperative hospital stay and postopera- tive pregnancy rate （ P 〈 0.05 ）. The result also showed that the total postoperative pregnancy rate was higher in the patients with the right side endometrial cyst than in the patients with the left side or the both sides endometrial cyst. Conclusions ： Laparoscopic surgery can produce similar, or even better efficacy than the conventional abdominal surgery in the treatment of infertile women with ovarian endometrial cyst.