腹腔镜手术治疗子宫内膜异位症的临床价值分析

Analysis of the clinical value of laparoscopic surgery in the treatment of endometriosis

目的探讨腹腔镜手术治疗子宫内膜异位症的临床效果。方法40例子宫内膜异位症患者,根据治疗方案的不同分为常规组及研究组,各20例。常规组患者采用传统开腹手术治疗,研究组患者采用腹腔镜手术治疗。比较两组治疗相关指标、治疗前后血清炎性指标、并发症发生率及视觉模拟评分法(VAS)评分。结果研究组住院时间(3.56±0.80)d、手术时间(60.47±10.05)min及术后下床时间(21.53±7.92)h短于常规组的(6.22±1.18)d、(81.52±8.12)min、(48.21±18.88)h,术中出血量(51.83±10.71)ml少于常规组的(88.13±14.66)ml,差异具有统计学意义(P<0.05)。治疗后,研究组肿瘤坏死因子-α(TNF-α)、糖类抗原125(CA125)、白细胞介素-6(IL-6)低于常规组,差异具有统计学意义(P<0.05)。研究组并发症发生率为0,低于常规组的25.00%,差异具有统计学意义(P<0.05)。研究组患者术后1 d的VAS评分为(4.12±1.21)分,术后1周的VAS评分为(3.28±1.02)分,低于常规组的(5.35±1.62)、(4.85±1.08)分,差异具有统计学意义(P<0.05)。结论应用腹腔镜手术治疗子宫内膜异位症的效果显著,明显缓解疼痛,降低术后并发症发生率,值得推广。

Objective To discuss the clinical effect of laparoscopic surgery on endometriosis.Methods A total of 40 patients with endometriosis were divided into conventional group and research group according to different treatment plans,with 20 cases in each group.Patients in the conventional group were treated with traditional laparotomy,patients in the research group were treated with laparoscopic surgery.The treatmentrelated indexes and serum inflammatory indexes before and after treatment,complications and visual analogue scale(VAS)score were compared between the two groups.Results The hospitalization time(3.56±0.80)d,operation time(60.47±10.05)min and postoperative off-bed time(21.53±7.92)h in the research group were shorter than(6.22±1.18)d,(81.52±8.12)min,(48.21±18.88)h in the conventional group,and the intraoperative blood loss(51.83±10.71)ml was less than(88.13±14.66)ml in the conventional group.All the differences were statistically significant(P<0.05).After treatment,the tumor necrosis factor-α(TNF-α),carbohydrate antigen 125(CA125),and interleukin-6(IL-6)in the research group were lower than those in the conventional group,and the difference was statistically significant(P<0.05).The complication rates in the research group was 0,which was lower than 25.00%in the conventional group,and the difference was statistically significant(P<0.05).The VAS score of the research group at 1 d after surgery was(4.12±1.21)points,and the VAS score at 1 week after surgery was(3.28±1.02)points,which was lower than(5.35±1.62)and(4.85±1.08)points of the conventional group,and the difference was statistically significant(P<0.05).Conclusion Laparoscopic surgery is effective in the treatment of endometriosis.It can relieve pain and reduce postoperative complications,which is worthy of popularization.