腹腔镜用于卵巢子宫内膜异位囊肿治疗的疗效观察

目的对比开腹与腹腔镜下治疗卵巢子宫内膜异位囊肿的疗效,探究腹腔镜用于卵巢子宫内膜异位囊肿治疗的疗效。方法收集自20年3月～2011年11月收治的卵巢子宫内膜异位囊肿患者197位,将其随机分为2组,实验组患者98例行腹腔镜手术,对照组患者99例行卵巢子宫内膜异囊肿剥除术。术后随访12～36个月,比较2组术中出血量、手术时间、临床疗效及术后复发率。结果实验组患者术中出血量>200ml者6.1%(6/98),照组17.2%(17/99),2组患者术中出血量比较有统计学意义(P<0.05)。实验组患者总有效率90.8%,对照组总有效率为87.8%,2组临床疗效比较差无统计学意义(P>0.05)。术后5年实验组复发率为25.7%(18/70),对照组复发率为31.4%(27/86),2组患者术后复发率比较差异无统计学意义(P0.05)。结论腹腔镜手术与常规开腹手术治疗卵巢子宫内膜异位囊肿患者的临床疗效无显著差异,但腹腔镜手术在子宫内膜异位囊肿的治疗中具安全、有效、微创等治疗特点,减少了患者的身心伤害。

Objective To elevated the curative effect of the treatment of laparoscopes for ovary and endometrium allotrope cysts.Methods 197 cases of ovary and endometrium cysts collected in our hospital from March 2007 to November 2011,were randomly divided into two groups.98 in experimental group（G1） underwent laparoscopic surgery;99 patients in the control group（G2） got ovarian endometriosis ectopic cystectomy.Patients were followed up for 12-36 months,and the two groups were compared intraoperative blood loss,operative time,clinical efficacy and recurrence rates.Results The patients with intraoperative blood loss 200 ml 6.1%（6/98） in the G1 was 17.2%（17/99）,G2 patients with intraoperative blood loss was statistically significant（P 0.05）.The G1 patients,90.8%,87.8% of the total effective rate of the G2,there was no significant difference between each in clinical efficacy（P〈0.05）.The recurrence rate after 5 years of G1 was 25.7%（18/70） and the G2 was 31.4%（27/86）,not statistically significant（P〉0.05）.Conclusion It shown no significant difference between 2 methods in clinical efficacy and recurrence rates after 5 years,but it is safer,minimally invasive of laparoscopic surgery in the treatment of endometrial cyst treatment,reducing the patient＇s physical and psychological harm.