腹腔镜下手术治疗直肠阴道隔子宫内膜异位症  

Laparoscopy for Retrovaginal Septum Endometriosis

作　　者：雷厉秀[1] 许学岚[1] 王春平[1] 曾秀华[1] 张天锋[1] 罗光楠[1] 

机构地区：[1]深圳市罗湖区人民医院妇产科,深圳518001

出　　处：《中国微创外科杂志》2008年第9期813-814,共2页Chinese Journal of Minimally Invasive Surgery

基　　金：深圳市科技局专项基金资助(项目编号:200603110)

摘　　要：目的评价腹腔镜下手术治疗直肠阴道隔子宫内膜异位症的疗效。方法2001年1月～2006年5月,手术治疗直肠阴道隔子宫内膜异位症13例,其中开腹手术5例,腹腔镜手术8例。结果开腹手术时间130～200 min,平均187 min,出血量170～280 ml,平均189 ml,术后痛经完全缓解例数1个月5例、3个月4例、6个月3例、12个月2例;腹腔镜手术时间120～185 min,平均155 min,出血量100～190 ml,平均135 ml,术后痛经完全缓解例数1个月8例、3个月8例、6个月7例、12个月5例。结论腹腔镜或腹腔镜辅助下经阴道手术治疗直肠阴道隔子宫内膜异位症效果满意,安全。Objective To investigate the efficacy of laparoscopy for the treatment of rectovaginal septum endometriosis. Methods A totalof 13 patients with rectovaginal septum endometriosis underwent open (5 cases) or laparoscopic (8 cases) operations in our hospital between January 2001 and May 2006.Results In the open surgery group,the operation time ranged from 130 to 200 minutes (mean,187 minutes) ,and the mean intraoperative blood loss was 189 ml (170 to 280).After the operation,the menstrual pain was relieved in 5 cases at 1 month,4 at 3 months,3 at 6 months,and 2 at 12 months.Whereas,in the laparoscopy group,the operation time ranged from 120 to 185 minutes (mean,155 minutes),and the mean blood loss was 135 ml(100 to 190 ml).The menstrual pain was relieved in 8 cases at month 1,8 cases at month 3,7 cases at month 6,and 5 cases at month 12.Conclusions Laparoscopic surgery is effective and safe for patients with rectovaginal septum endometriosis.

关 键 词：直肠阴道隔 子宫内膜异位症 腹腔镜 

分 类 号：R713[医药卫生—妇产科学]