电化学治疗腹壁会阴切口子宫内膜异位症疗效观察  

The effect of electrochemical thearpy on abdominal wall and perineal incision endometriosis

作　　者：孙霭萍[1] 李京宏[2] 辛育龄[2] 

机构地区：[1]卫生部中日友好医院妇产科,北京100029 [2]卫生部中日友好医院电化学治疗科

出　　处：《中国妇幼保健》2007年第17期2424-2427,共4页Maternal and Child Health Care of China

摘　　要：目的：观察电化学治疗切口子宫内膜异位症（内异症）的临床疗效。方法：20例切口内异症患者分为两组：①治疗组：电化学治疗10例,其中腹壁切口内异症9例,会阴切口内异症1例;②对照组：手术切除10例,均为腹壁切口内异位症。术后随访5～12个月。③将1例手术切除后标本行实验性电化学治疗。结果：①全部病例术后月经期疼痛基本消失,5个月后治疗组和对照组分别有2例和3例症状复发;电化疗组10例术后病灶平均缩小（80.16±20.88）%;手术组病灶去除,但新增切口疤痕50～70 mm,平均47 mm,局部皮下缺损性凹陷持续存在;比较两组年龄、术前病灶体积,手术时间、手术前后VAS评分均无显著差异;术后住院天数治疗组比对照组少（P=0.000 0）,住院费用治疗组比对照组低（P=0.002 6）。②离体标本电化学实验治疗显示：电化学治疗后子宫内膜细胞和组织结构完全受损,变成组织碎片,完全失去原有结构和形态。结论：电化学治疗切口内异症是一种疗效确切,操作简单的新方法,具有创伤小、恢复快、外形美观、治疗费用低等优势。Objective： To observe the clinical effect of electrochemical therapy on abdominal wall and perineal incision endome triosis. Methods： 20 cases of abdominal wall and perineal incision endometrioses were divided into two groups： ①Treating group： 10 cases treated by electrochemical therapy; 9 turnouts were on abdominal wall and 1 on perineal incision area; ②Control group： 10 cases treated by surgical operation, all the tomours were on abdominal wall. They were foUowod up for 5 to 12 months after operation. ③One of specimens taken came from surgical operation was treated by electrochemical therapy as experiment. Results： ①The pain of menstrual period was disap- peared in all 20 eases after treatment but 2 and 3 eases were recurred 5 months post operation in two groups respectively. The tumors treated by electrochemical therapy decreased 80. 16% ±20. 88% ; the tumors disaperared after surgical operation but a 50 -70 mm operative scar and a hollow defect was formed （ mean 47 mm） ; the age, diameter of tumors pre - treatement, operative time, the score of VAS before and after treatment of two groups had no significant difference; the hospitalized days after operat ion of treating group was shorter than that of control group （P=0. 000 0）, the cost of hospitalization of treating group was lower than that of control group （P=0. 002 6）. （2） The ex vivo specimen treated by electrochemical therapy showed： the endometrium and structure of tissue were completely destroied after electrochemical therapy, the former structure and appearance were totally changed and instead by some tissue fragments. Conclusion： Electrochemical therapy could be a new and effective method in treating on abdominal wall and perineal incision endometrisis ; it owns the superiority of less injury, quick recovery, good appearance, shorter hospitalized days and lower cost of hospitalization.

关 键 词：手术切口 子宫内膜异位症 电化疗 

分 类 号：R711.71[医药卫生—妇产科学]