腹腔镜手术治疗卵巢子宫内膜异位症的临床分析

Clinical Analysis of Laparoscopic Surgery in the Treatment of Ovarian Endometriosis

目的:探讨腹腔镜手术治疗卵巢子宫内膜异位症的效果和安全性。方法:选取2017年2月~2018年8月某院诊治的82例卵巢子宫内膜异位症患者进行研究,用随机分组法分为腔镜组(腹腔镜手术治疗,41例)和常规组(传统开腹手术,41例),比较两组患者围手术期相关指标和术后相关并发症的发生率。结果:腔镜组患者手术时间、术中出血量、肛门排气恢复时间和住院时间均低于常规组(P<0.05);腔镜组患者术后相关并发症总发生率显著低于常规组[2.44%vs.14.63%,(P<0.05)]。结论:腹腔镜手术治疗卵巢子宫内膜异位症能降低患者手术创伤,降低相关手术并发症发生率,有重要临床治疗价值。

Objective: To evaluate the efficacy and safety of laparoscopic surgery in the treatment of ovarian endometriosis. Methods: 82 patients with ovarian endometriosis treated in a hospital from February 2017 to August 2018 were randomly divided into laparoscopic group (laparoscopic ovarian drilling, 41 cases) and routine group (traditional laparotomy, 41 cases). The perioperative indexes and the incidence of postoperative complications were compared between the two groups. Results: The operative time, intraoperative blood loss, anus exhaust recovery time and hospitalization time in the laparoscopic group were lower than those in the routine group ( P <0.05). The total incidence of post-related complications of the patients in the laparoscopic group was significantly lower than that of routine group [2.44% vs.14.63%,( P <0.05)]. Conclusion: Laparoscopic surgery for ovarian endometriosis can reduce surgical trauma and reduce the incidence of surgical complications, which has important clinical value.