腹腔镜与开腹手术治疗子宫内膜异位囊肿合并不孕症的临床效果比较.docVIP

腹腔镜与开腹手术治疗子宫内膜异位囊肿合并不孕症的临床效果比较 [摘要] 目的 探讨腹腔镜手术与开腹手术治疗子宫内膜异位囊肿合并不孕症的临床效果。 方法 选取2011年9月～2012年9月本院收治的85例子宫内膜异位囊肿并发不孕症患者作为研究对象，根据手术方式分为腹腔镜手术组（45例）和开腹手术组（40例），比较两组手术后的痛经、性交痛、盆腔痛、月经紊乱等症状缓解情况，术后随访统计其妊娠率、妊娠时间等。 结果 两组的痛经、性交痛、盆腔痛、月经紊乱等症状缓解率比较，差异无统计学意义（P 0.05）。腹腔镜手术组术后的总妊娠率为64.44%，显著高于对照组的42.50%，差异有统计学意义（P 0.05）。 结论 与开腹手术相比，腹腔镜手术治疗子宫内膜异位囊肿并发不孕症的临床疗效更好，且术后6个月为妊娠黄金时间，腹腔镜手术可作为子宫内膜囊肿并发不孕患者的首选疗法。 [关键词] 腹腔镜手术；开腹手术；子宫内膜异位囊肿；不孕症 [中图分类号] R711.6 [文献标识码] A [文章编号] 1674-4721（2015）09（a）-0108-03 [Abstract] Objective To explore the clinical effect of laparoscopic surgery and laparotomy in the treatment of endometrial cyst combined with infertility. Methods 85 patients suffered from endometrial cyst combined with infertility from September 2011 to September 2012 in our hospital were selected and divided into the laparoscopic surgery group （n 45） and the laparotomy group （n 40） according to different surgical methods.The remission of symptoms including dyspareunia，dysmenorrheal，pelvic pain，menstrual disorders，etc. after surgeru in two groups was compared.Pregnancy rate and pregnancy time after surgery were calculated during follow-up visits. Results There was no statistical difference in remission rate of symptoms like dysmenorrheal，dyspareunia，pelvic pain or menstrual disorders （P 0.05）.The total pregnancy rate after surgery in the laparoscopic surgery group was 64.44%，which was higher than 42.50% in the control group，with significant difference （P 0.05）. Conclusion In comparison with open surgery，the clinical effect of laparoscopic surgery in the treatment of endometrial cyst combined with infertility is better，six month after surgery is prime time for pregnancy，laparoscopic surgery can be considered as first choice in the treatment of patients with endometrial cyst combined with infertility. [Key words] Laparoscopy；Laparotomy；Endometrial cyst；Infertility 近年来，我国子宫内膜异位症的发病率明显上升，达到10%～15%，而子宫内膜异位症易引起子宫内膜异位囊肿，其中约有30%的患者会累及双侧或单侧卵巢而引起不孕症[1]。目前，子宫内膜异位囊肿并发不孕症的患者临床上可选择药物保守治疗或手术治疗，其中腹腔镜手术是子宫内膜异位囊肿的主要治