腹腔镜与开腹手术对年轻子宫内膜异位症患者治疗效果的临床研究

Effect of laparoscopy surgery and laparotomy surgery on treatment of young patients with endometriosis

目的探究腹腔镜手术与开腹手术对年轻子宫内膜异位症患者疗效比较。方法对年轻子宫内膜异位症患者(年龄≤36岁,要求保留子宫,排除子宫肌瘤)的资料进行回顾性分析。选取我院妇科诊断为子宫内膜异位症患者共117例。随机分为2组,腹腔镜组53例;开腹组32例,对两组患者围手术期情况做对比评价,并电话随访患者术后复发率、复发时间,临床症状缓解情况。结果两组患者围手术期情况比较,腹腔镜组手术时间、术中出血量、首次肛门排气时间、术后镇痛剂使用、术后病率、住院天数均明显优于开腹组,P<0.05。两组患者术后复发率比较,两者差异无统计学意义,分期不同的患者差异具有统计学意义。结论腹腔镜组围手术期情况手术时间、术中出血量、首次肛门排气时间、术后镇痛剂使用、术后病率、住院天数均明显优于开腹组。腹腔镜组术后复发率与开腹组差异无统计学意义。

Objective To explore the effect of laparoscopy surgery and laparotomy surgery in treatment of young patients with endometriosis. Methods A retrospective study of 117 patients who were clinically diagnosed as endometriosis, all cases （age 36 years old or less,exculde uterine fibroids） were divided into two groups randomly. The laparoseopy group：53 cases, the laparotomy group： 32 cases. Evaluate the perioperative period of two groups and follow up the anesis of clinical symptoms such as postoperative recurrence rate,recurrence time and clinical symptoms. Results Laparoscopy surgery group had significantly advantages in operation time, amount of bleeding during the surgery, postoperative recurrence rate and length of stays, which was better than the laparotomy surgery group. There was no significant difference in the postoperative recurrence rate of the two groups. Conclusions Laparoscopy surgery group had significantly advantages in the perioperative period,which was better than the laparotomy surgery group. The difference in the recurrence rate of the two group has no statistical significance, while the total recurrence rate was positively correlated with clinical stage.