微腹腔镜与常规腹腔镜手术治疗轻度子宫内膜异位症相关慢性盆腔痛临床研究  

Compare mini-laparoscopy with conventional laparoscopy for conservative surgery of chronic pelvic pain associated with suspected early-stage endometriosis

作　　者：许洪梅[1] 张震宇[2] 

机构地区：[1]北京丰台医院妇产科,北京100071 [2]首都医科大学附属北京朝阳医院妇产科,北京100020

出　　处：《中国实用妇科与产科杂志》2007年第8期613-615,共3页Chinese Journal of Practical Gynecology and Obstetrics

基　　金：北京市科技计划项目(H030930040230)

摘　　要：目的评价微腹腔镜和常规腹腔镜手术治疗轻度子宫内膜异位症的疗效。方法前瞻性队列分析2004年8月至2006年9月首都医科大学附属北京朝阳医院妇产科住院实施保守性手术的子宫内膜异位症相关慢性盆腔痛患者43例,经腹腔镜诊断或病理证实为子宫内膜异位症,符合r-AFS分期为轻度的Ⅰ～Ⅱ期,分为微腹腔镜(20例)和常规腹腔镜(23例)两组行保守性手术。结果微腹腔镜组与常规腹腔镜组比较术后胃肠功能恢复时间短,术后住院天数少,住院费用少,差异有显著性意义。比较手术时间、术中出血量、手术费用、手术效果,两组差异无显著性意义。两组均无围手术期并发症发生。结论微腹腔镜手术治疗轻度子宫内膜异位症可以与常规腹腔镜一样安全和有效,并且在术后胃肠功能恢复、术后住院时间和总的住院费用等方面具有一定的优势。Objective To evaluate mini-laparoscopy and conventional laparoscopy for conservative surgery of chronic pelvic pain associated with suspected early-stage endometriosis. Methods Prospective study was formed. We managed 43 patients who were diagnosed as with endometriosis by laparoscopy or pathology with mini-laparoscopy or conventional laparoscopy for conservative surgery. They all accorded with stage Ⅰ and Ⅱ endometriosis of American Society for Reproductive Medicine,evised in 1996 （r-AFS）. Results Mini-laparoscopy was prior to conventional laparoscopy on intestines recovery and duration after surgery, hospital charge, （P 〈 0. 05 ）. There were no differences between them about duration of surgery, blood loss or charge of surgery, （ P 〉 0. 05 ）. No complications happened among them. Conclusion Mini-laparoscopy is a viable alternative and safe for conservative surgery of patients with suspected early-stage endometriosis.

关 键 词：子宫内膜异位症 微腹腔镜 常规腹腔镜 保守性手术 

分 类 号：R614[医药卫生—麻醉学]