探究腹腔镜下卵巢子宫内膜异位囊肿剥除术临床应用.docVIP

探究腹腔镜下卵巢子宫内膜异位囊肿剥除术临床应用【摘要】目的：探讨腹腔镜下手术剥除卵巢子宫内膜异位囊肿的临床疗效及可行性，及其相比于开腹手术治疗的优势。方法：将2010年10月-2011年10月我院收治的100例子宫内膜异位囊肿患者作为研究对象，其中伴有不孕者32例。将其随机平均分两组—腹腔镜组和手术组（50人/组，含16例不孕症患者）。腹腔镜组进行腹腔镜手术治疗，手术组进行常规的开腹手术治疗。观察两组患者术后妊娠率的变化情况及围手术期的病症反应状况。结果：(1)腹腔镜组进行腹腔镜剥除术，对合并不孕症患者随访，其中有10例妊娠；手术组进行开腹手术后不孕患者妊娠2例；(2)腹腔镜组手术时间、出血量等均少于对照组。结论：临床上采用腹腔镜治疗子宫内膜异位囊肿质量高、疗效好，对该病患者并伴有不孕者可推广应用。 【关键词】卵巢子宫内膜异位症；囊肿剥除术；腹腔镜；优势；临床应用 【中国分类号】R713【文献标识码】A【文章编号】1004-5511（2012）06-0384-01 【Abstract】Objective: Laparoscopic surgery to strip the clinical efficacy and feasibility of ovarian endometriotic cysts, and its advantages compared to laparotomy. Methods: The studies during the randomly selected patients diagnosed 100 cases, 32 cases associated with infertility. The patients were randomly divided into two groups - laparoscopic group and surgical group, each group of 50 people (including 18 cases of co-infertility patients).Laparoscopic group underwent laparoscopic surgery, the surgery group underwent conventional open surgery. Observe two groups of patients with postoperative pregnancy rate and perioperative response. Results: (1) The laparoscopic group, no serious complications in laparoscopic excluding postoperative follow-up of the merger of infertility patients,10 cases of pregnancy; pregnancy and infertility patients in the surgical group laparotomy two cases. (2) The laparoscopic group, operative time, blood loss and so is less than the control group. Conclusion: The clinical use of laparoscopic treatment of endometriosis cyst quality, good effect, promotes the use of patients with the disease and associated with infertility. 【Key words】Ovarian Endometriosis Disease; Cystectomy; Laparoscopic; Advantage; Clinical Application 随着我国居民生活水平的不断提高，妇女的地位和生活质量都有了很大的进步，然而近年来妇女患上子宫内膜异位症(即内异症) 的概率却越来越高，当患上子宫内膜异位症时患者的卵巢就会最容易受到影响，进而形成卵巢子宫内膜异位囊肿，其主要的临床症状主要包括痛经、盆腔包块以及不孕不育等，而这些临床病症都严重的影响了患者的正常生活状态和质量，如何精确的治疗该病症从而有效的缓解患者的痛苦成了众多临床医学研究人员普遍关心的问题。目前随着腹腔镜诊断及治疗技术的不断发展和普及，腹腔镜手术使得子宫内膜异位症的准确诊断和治疗成为可能［1］。为了进一步研究腹腔镜手术治疗子宫内膜异位症的临床效