不同腹腔镜术式治疗卵巢子宫内膜异位囊肿临床对比分析

Comparative Analysis of Different Laparoscopic Operations in the Treatment of Ovarian Endometriosis Cyst

目的探讨不同腹腔镜术式治疗卵巢子宫内膜异位囊肿的临床疗效。方法选取唐山市曹妃甸区医院妇产科2015年7月至2016年7月收治的80例卵巢子宫内膜异位囊肿患者,按照电脑随机法分为研究组和对照组,研究组采用腹腔镜注水分离囊肿剥离术治疗,对照组给予腹腔镜直接囊肿剥离术治疗,对比两组治疗效果。结果研究组手术时间、术中出血量和对照组对比无显著差异(P> 0.05),研究组卵巢组织阳性率和卵泡数优于对照组(P<0.05);研究组术后各项性激素水平改善程度优于对照组(P<0.05)。结论相较于直接囊肿剥离术,注水分离囊肿剥离术可以有效的减少对卵巢组织的损伤,恢复卵巢功能,对于改善患者预后有很大帮助。

Objective To explore the clinical efficacy of different laparoscopic operations in the treatment of ovarian endometriosis cyst. Methods 80 cases of endometriosis cysts in Caofeidian Hospital of Tangshan from July 2015 to July 2016 were selected and divided into study group and control group according to the computer random method. In the study group were treated by laparoscopic water injection separation cyst dissection, and the control group was treated with laparoscopic direct cysts dissection, and the control group was treated with laparoscopic direct cyst dissection. Compared with the two groups, the effects were treated. Results There was no significant difference between the study group and the control group（P〉0.05）. The positive rate of ovarian tissue and the number of follicles in the study group were better than those of the control group（P〈0.05）, and the level of sex hormone improvement in the study group was better than that of the control group（P〈0.05）. Conclusion Compared with the direct cyst dissection, water injection separation cyst dissection can effectively reduce the damage to the ovarian tissue and restore the ovarian function, which is helpful to improve the prognosis of the patients.