腹腔镜手术治疗卵巢子宫内膜异位囊肿疗效观察.doc

腹腔镜手术治疗卵巢子宫内膜异位囊肿疗效观察[摘要] 目的：观察腹腔镜手术治疗卵巢子宫内膜异位囊肿的临床疗效。方法：将我院收治的85例卵巢子宫内膜异位囊肿患者随机分为两组，对照组40例采用开腹手术治疗，观察组45例患者采用腹腔镜手术治疗，比较分析两组的临床治疗情况。结果：观察组术中出血量及住院时间均明显少于对照组，组间差异有统计学意义（P＜0.05），两组术后均无严重并发症。结论：腹腔镜手术治疗卵巢子宫内膜异位囊肿疗效满意，利于患者的康复，值得临床关注。 [关键词] 卵巢子宫内膜异位囊肿 腹腔镜手术 开腹手术 [中图分类号] R737.3[文献标识码]Ａ [文章编号]1673-7210（2011）02（c）-028-02 Effect observation of laparoscopic surgery in the treatment of ovarian endometrioma ZHOU Yanxia (The Central Hospital of Birth Control in Yutian County, Hebei Province, Yutian 064100, China) [Abstract] Objective: To investigate clinical efficacy laparoscopic surgery in the treatment of ovarian endometrioma. Methods: 85 patients of ovarian endometrioma were randomly divided into two groups, 40 cases of the control group were treated with laparotomy surgery, 45 cases of the observation group were treated with laparoscopic surgery, the clinical situation of two groups were observed and compared. Results: The intraoperative blood loss and hospitalization time of the observation group were significantly less than those of the control group, there were significant differences between two groups (P＜0.05). No serious postoperative complications occurred in two groups. Conclusion: Laparoscopic surgery in the treatment of ovarian endometrioma has satisfactory curative effect and conducive to the rehabilitation of patients, it is worth popularizing. [Key words] Ovarian endometrioma; Laparoscopic surgery; Laparotomy surgery 卵巢子宫内膜异位囊肿有可能合并并发症，如感染、变得扭曲、出血或爆裂，有时甚至危及患者生命安全，应积极治疗，因此笔者借助本研究观察腹腔镜手术治疗卵巢子宫内膜异位囊肿的临床疗效，希望为临床提供相关参考信息，报道如下： 1 资料与方法 1.1 一般资料 选择我院2009年12月～2010年6月收治的85例卵巢子宫内膜异位囊肿患者，符合《中华妇产科学》中的诊断标准[1]。患者年龄32～48岁，平均（36.5±2.5）岁；已婚76例，未婚9例（有性生活史）；囊肿直径3.7～10.8 mm，平均（7.1±2.0）mm；患者临床表现为痛经、经血量明显增多、性交痛以及不孕等。遵照知情同意原则分为两组，对照组40例和观察组45例，两组患者的一般资料间比较差异无统计学意义（P＞0.05），有可比性。 1.2 方法 对照组常规行开腹手术治疗，观察组腹腔镜手术治疗，气管插管加静脉全身麻醉，患者取头低臀高膀胱截石位，建立气腹，在脐部穿刺置入25°广角腹腔镜，另取左、右下腹部麦氏点处插入5～10 mm Trocar 2个，探查，钝性分离卵巢与囊肿，活动出血处双极电凝止血，尽量将囊肿完整剥除，残余卵巢不需缝合，囊肿内壁有乳头状结节者须送快速冰冻病理