腹腔镜子宫腺肌病病灶减灭术治疗弥漫性子宫腺肌病临床分析.docVIP

腹腔镜子宫腺肌病病灶减灭术治疗弥漫性子宫腺肌病临床分析 　　【摘要】 目的：探?腹腔镜和腹腔镜辅助子宫腺肌病组织减灭术两种术式治疗子宫腺肌病的手术时间、术中出血量、术后排气时间和治疗效果。方法：选取88例子宫腺肌病患者根据腹腔镜和腹腔镜辅助手术两种不同术式随机设为观察组及对照组。观察组48例、对照组40例。比较两组手术时间、术中出血量、术后排气时间及术后痛经评分、月经量、子宫体积变化及复发率。结果：两组均完成手术并且无严重并发症发生。观察组手术时间为（110±15）min，少于对照组的（125±13）min，差异有统计学意义（P0.05）；观察组11 例和对照组12例月经过多患者月经量均明显减少，两组比较差异无统计学意义（P0.05）；观察组子宫体积为（123 ±15）cm3，对照组为（130±9）cm3，差异无统计学意义（P0.05）；两组均无复发，均无术后辅助药物治疗。22例不孕患者，因要求至少术后1年以上方能妊娠，因此在6个月内暂无妊娠发生。结论：腹腔镜和腹腔镜辅助子宫腺肌病组织减灭术两种术式治疗弥漫性子宫腺肌病均具有肯定效果，复发率低，可保留子宫，不需要术后辅助药物治疗等优点。但腹腔镜组手术时间、出血量、术后恢复好于腹腔镜辅助组。 　　【关键词】 子宫腺肌病； 子宫腺肌病组织减灭术； 腹腔镜 　　doi：10.14033/j.cnki.cfmr.2017.7.005 文献标识码 B 文章编号 1674-6805（2017）07-0011-03 　　【Abstract】 Objective：To investigate the operation time，intraoperative blood loss，postoperative exhaust time and therapeutic effect of two kinds of operation in the treatment of adenomyosis by laparoscopic and laparoscopic assisted adenomyosis of the uterus.Method：88 cases of patients with adenomyosis were randomly divided into observation group and control group according to different methods of laparoscopic and laparoscopic assisted surgery，with 48 cases of observation group，40 cases of control group.The operation time，blood loss，postoperative exhaust time and postoperative pain score，menstrual volume，uterine volume change and recurrence rate were compared between the two groups.Result：Both group completed the operation and no serious complication occurred.Operation time of observation group was （110±15）min，less than （125±13）min of control group，the difference was statistically significant（P0.05）.Menstrual volume of 11 cases in observation group and 12 cases in control group were significantly decreased，the difference was no statistically significant（P0.05）.Uterine volume of observation group was （123 ±15）cm3，control group was（130±9）cm3，the difference was no statistically significant（P0.05）.There was no recurrence in the two groups，and no postoperative adjuvant drug therapy.22 cases of infertility patients，because of the requirements