腹腔镜手术治疗子宫内膜异位症的效果

The effect 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效果。方法选取本院66例子宫内膜异位症患者为研究对象,按照随机数字表法分为两组,各33例。常规组采用传统开腹手术,试验组采用腹腔镜手术,比较两组的手术相关指标、症状缓解情况。结果试验组术中出血量少于常规组,抗生素使用时间及住院时间短于常规组,差异有统计学意义(P<0.05);试验组术后1年妊娠率、术后痛经缓解率、术后性交痛缓解率、慢性盆腔痛缓解率均高于常规组(P<0.05)。结论腹腔镜手术在治疗子宫内膜异位症方面疗效显著,相比开腹手术,其手术创伤更小,并发症更少,患者恢复效果更为理想,值得临床广泛推广。

Objective To explore the effectiveness of laparoscopic surgery for the treatment of endometriosis.Methods 66 patients with endometriosis in our hospital were selected as the research subjects and randomly divided into two groups using a random number table method,with 33 cases in each group.The conventional group underwent traditional open surgery,while the experimental group underwent laparoscopic surgery.The surgical related indicators and symptom relief of the two groups were compared.Results The intraoperative bleeding in the experimental group was less than that in the conventional group,and the duration of antibiotic use and hospitalization was shorter than that in the conventional group,with statistical significance(P<0.05);The one-year pregnancy rate,postoperative dysmenorrhea relief rate,postoperative sexual intercourse pain relief rate,and chronic pelvic pain relief rate in the experimental group were all higher than those in the conventional group(P<0.05).Conclusion Laparoscopic surgery has a significant therapeutic effect in the treatment of endometriosis.Compared with open surgery,it has smaller surgical trauma,fewer complications,and more ideal patient recovery effects.Therefore,it is worth promoting widely in clinical practice.