腹腔镜不同术式治疗卵巢子宫内膜异位囊肿的临床观察

The clinical observation of laparoscopy in the treatment of endometriosis cyst in ovary

目的研究不同腹腔镜术式对于医治卵巢子宫内膜异位囊肿的临床效果,并对其进行对比分析。方法随机选取本院于2016年6月~2017年6月收治的卵巢子宫内膜异位囊肿患者116例。将她们随机分成对照组和观察组,对照组患者58例,在腹腔镜术后采取缝合的方法止血;观察组患者58例,在腹腔镜术后采取电凝法止血。观察比较两组患者的术后临床疗效和并发症。结果观察组患者的手术时间和术后出血量显著低于对照组,差异具有统计学意义(P<O.05);观察组患者的窦状卵细胞数量显著少于对照组,差异不具有统计学意义。结论电凝止血可以减少患者的术后出血量,缩短患者的手术时问;缝合止血可以更好的保护残留的卵泡,降低痛经的复发率,最大限度的保护卵巢的功能。

Objective To study the clinical effect of different laparoscopic surgery on the treatment of endometrial cyst in ovary, and to compareand analyze it. Methods 116 patients with endometriosis cyst received by our hospital from June 2016 to June 2017 were randomly selected. Theywere randomly divided into control group and observation group, and 58 patients in the control group were treated with suture after laparoscopy tostop bleeding. In 58 cases, the electrocoagulation was performed after laparoscopy. The postoperative clinical efficacy and complications of the twogroups were observed. Results The time of operation of the patients in the observation group was significantly lower than that of the control group,was statistically significant（P〈0.05）. Observation group of patients with Ju form egg amount is significantly less than the control group, no statisticaldifference. Conclusion Electrocoagulation can reduce the blood volume of patients and shorten the operation of patients. Stitching hemostasiscan better protect the remaining follicle and reduce the recurrence rate of dysmenorrhea. The maximum protection of the ovarian function.