摘要
目的观察腹腔镜对子宫内膜异位症诊断准确性及治疗的临床效果,为医院推广腹腔镜诊断和治疗子宫内膜异位症提供依据。方法将符合入组标准的83例疑似子宫内膜异位症患者随机分为2组,腹腔镜诊疗组(A组)42例,常规B超诊疗组(B组)41例,腹腔镜诊疗组进行腹腔镜诊断与治疗,常规B超诊疗组进行B超检查与开腹手术治疗,统计两组诊疗结果与病理检查诊断结果,计算腹腔镜检查和B超检查的敏感度和特异度,观察两组患者术后疼痛、妊娠、复发情况。结果(1)A组腹腔镜诊断的敏感度和特异度分别为92.8%和90.6%,均明显高于B超检查组差异有统计学意义(P<0.05);(2)A组与病理诊断相比差异无统计学意义(P>0.05);(3)A组术后疼痛缓解情况和术后妊娠情况优于B组,差异有显著统计学意义(P<0.01);(4)A组术后1～3年复发率明显低于B组,差异有统计学意义(P<0.01)。结论腹腔镜可检查、诊断子宫内膜异位症,腹腔镜手术联合药物治疗可减少或消除病灶,减轻或解除术后疼痛,提高妊娠成功率,减少和避免复发。
Objective To observe the diagnostic accuracy and clinical effect of laparoscopic in endometriosis,and to Provide the basis for laparoscopic diagnosis and treatment of endometriosis.Methods 83 cases of suspected endometriosis patients were randomly divided into two groups,42 cases of laparoscopic treatment group（group A）,41 cases of conventional B super-clinic group（B）,group A were given laparoscopic diagnosis and treatment,group B were given B-ultrasound and laparotomy,The clinic results and pathology results were counted,to calculate the sensitivity and specificity of laparoscopy and B ultrasound,observed postoperative pain,postoperative pregnancy,and postoperative recurrence.Results（1） the diagnosis sensitivity and specificity of group A were 92.8% and 90.6%,group A were significantly higher than that of B-ultrasound group（P 0.05）;（2）A difference is not obvious between group A with the pathological diagnosis（P 0.05）;（3）the postoperative pain relief and postoperative pregnancy rate of group A were higher than group B,the difference was statistically significant（P 0.01）;（4） the recurrence rate for 1 to 3 years was significantly lower than group B,there wsa statistically significant difference（P 0.01）.Conclusion The laparoscopic can examine and diagnosis the endometriosis,laparoscopic surgery combined with drug treatment can reduce or eliminate the lesions,to reduce or lift the postoperative pain and improve the success rate of pregnancy,to reduce and prevent recurrence
出处
《湖南中医药大学学报》
CAS
2012年第10期50-51,62,共3页
Journal of Hunan University of Chinese Medicine
