腹腔镜与开腹手术治疗卵巢子宫内膜异位囊肿临床效果分析.docVIP

腹腔镜与开腹手术治疗卵巢子宫内膜异位囊肿临床效果分析 　　【摘要】 目的：比较腹腔镜手术与传统开腹手术治疗卵巢子宫内膜异位囊肿的临床效果。方法：选择2011年1月-2012年12月笔者所在医院收治的接受手术治疗的卵巢子宫内膜异位囊肿患者共58例，在患者知情同意的情况下随机分成观察组（30例）和对照组（28例），观察组患者行腹腔镜手术治疗，对照组患者行传统开腹手术，对两种不同手术方式的临床效果进行分析。结果：两组手术均顺利完成，未发生手术并发症，但观察组术中出血、术后疼痛、肛门排气时间、术后卧床时间及术后抗感染时间均明显优于对照组（P0.05）。结论：腹腔镜是目前临床手术治疗卵巢子宫内膜异位囊肿较好的选择。 　　【关键词】 卵巢子宫内膜异位囊肿； 腹腔镜术； 开腹手术 　　中图分类号 R711.71 文献标识码 B 文章编号 1674-6805（2014）18-0023-03 　　Clinical Effect Analysis of Laparoscopic and Laparotomy Operation in the Treatment of Ovarian Endometriosis Cyst/WEI Wei，WANG Fen，ZHONG Ming.//Chinese and Foreign Medical Research，2014，12（18）：23-25 　　【Abstract】 Objective：To compare the clinical effect of laparoscopic operation and traditional laparotomy operation in the treatment of ovarian endometriosis cyst.Method：In the case of patient informed consent，58 cases of ovarian endometriosis patients，which accepted surgical treatment in our hospital during January 2011 to December 2012 were randomly divided into observation group（30 cases） and control group（28 cases），patients in observation group were performed with laparoscopic surgery，patients in control group were performed with traditional laparotomy surgery，the clinical effect of two different surgical methods were analyzed.Result：The operations were successfully completed without surgical complications，but in the case of the blood loss，postoperative pain，anal exhaust time，postoperative recovery time and infection time，patients in the observation group were significantly better than those in the control group（P0.05）.Conclusion：Laparoscopic operation is currently the best choice in clinical treatment of ovarian endometrial cyst. 　　【Key words】 Ovarian endometriosis cyst； Laparoscopic operation； Laparotomy operation 　　First-author’s address：Maternal and Children Health Hospital of Tongling City，Tongling 244000，China 　　子宫内膜异位症是指具有生长功能的子宫内膜组织在子宫腔以外的其他部位出现而引起患者一系列症状和体征的疾病[1]，因其良性疾病恶性行为的特点，给广大患病女性造成极大的困扰，严重影响女性生活质量，降低女性生育能力，因此逐渐引起临床重视[2]，更多的临床医师希冀探索出更优的诊断及治疗方法解决患者的痛苦。卵巢是子宫内膜