子宫内膜异位症伴不孕腹腔镜手术治疗的临床疗效探讨

Study on Clinical Curative Effect of Laparoscopic Surgery in Treatment of Endometriosis with Infertility

目的探讨子宫内膜异位症伴不孕实行腹腔镜手术治疗的临床疗效。方法选取该院2015年3月—2016年3月治疗的86例子宫内膜异位症伴不孕患者,随机分成两组,各43例;对照组给予常规治疗,观察组实施腹腔镜手术,对两组手术疗效进行比较。结果从治疗总有效率方面来看,观察组的95.35%明显高于对照组的69.77%,差异有统计学意义(P<0.05)。观察组手术时间(62.17±10.23)min、住院时间(5.16±1.39)d、术中出血量(65.12±31.21)mL;对照组手术时间(75.31±10.51)min、住院时间(8.31±2.15)d、术中出血量(125.81±53.13)mL;由此可见,观察组各项手术指标均显著优于对照组,差异有统计学意义(P<0.05)。在术后并发症发生率上,观察组为2.33%,与对照组23.26%相比明显更低,差异有统计学意义(P<0.05)。结论子宫内膜异位症伴不孕患者给予腹腔镜手术治疗的效果良好,值得在临床治疗中推广及使用。

Objective To study the clinical curative effect of laparoscopic surgery in treatment of endometriosis with infertility.Methods 86 cases of patients with endometriosis with infertility treated in our hospital from March 2015 to March 2016 were selected and randomly divided into two groups with 43 cases in each,the control group adopted the routine treatment,while the observation group adopted the laparoscopic surgery,and the curative effect of the two groups was compared.Results The total treatment effective rate in the observation group was obviously higher than that in the control group,(95.35%vs 69.77%),The difference was statistically significant(P<0.05),and the operation time,length of stay,intraoperative bleeding amount in the observation group were obviously better than those in the control group,[(62.17±10.23)min,(5.16±1.39)d,(65.12±31.21)mL vs(75.31±10.51)min,(8.31±2.15)d,(125.81±53.13)mL],therefore,the differences were statistically significant,The difference was statistically significant(P<0.05),and the incidence rate of postoperative complications in the observation group was obviously lower than that in the control group(2.33%vs 23.26%),The difference was statistically significant(P<0.05).Conclusion The effect of laparoscopic surgery in treatment of endometriosis with infertility is good,which is worth clinical treatment and promotion.