腹腔镜治疗卵巢子宫内膜异位囊肿56例临床分析

Laparoscopic Treatment of Ovarian Endometriosis Cysts: Clinical Analysis of 56 Cases

目的:探讨腹腔镜手术治疗卵巢子宫内膜异位囊肿的临床应用价值。方法:回顾性分析了56例卵巢子宫内膜异位囊肿在电视腹腔镜下手术的方式及效果。结果:56例卵巢子宫内膜异位囊肿全部通过腹腔镜手术完成,其中单侧44例,双侧11例。术中同时电凝、烧灼腹膜等处的异位病灶,分离粘连,行通液术8例。手术时间25～90 min,平均49 min。术中出血5～100 mL,平均36.3 mL。均无严重并发症发生。24例痛经者中有14例症状消失,4例明显缓解,总有效率75%。未生育者中有5例妊娠,妊娠率40%。结论:腹腔镜手术治疗卵巢子宫内膜异位囊肿安全、疗效好、恢复快,术后联合用药,复发率低。对合并不孕者,可同时治疗,提高妊娠率。

Objective ：To explore the treatment of laparoscopic operation for ovarian endometriosis cysts clinical applica- tion value. Methods ： A retrospective analysis of 56 cases of ovarian endometriosis cyst in laparoscopie operation way and effect. Results ：56 cases of ovarian endometriosis cyst by laparoscopic operation all complete, including 44 cases of uni- lateral, bilateral in 11 cases. Intraoperative and electric coagulation, burning peritoneal at ectopic fool, separating adhe- sion, line of liquid in 8 cases. Operation time 25-90min, the average 49 min. Intraoperative bleeding from 5 to100 mL, average 36. 3 mL. There were no serious complication. In 24 patients with dysmenorrhea in 14 patients the symptoms disappeared, and was alleviated in 4 patients, the total efficiency of 75%. Has not given birth in5 cases with pregnancy, pregnancy rate 40%. Conclusions ： laparoscopic operation for the treatment of ovarian endometriosis cyst safe- ty, good curative effect, quick recovery, postoperative combined medication, low recurrence rate. With infertility, can be treated at the same time, improve the pregnancy rate.