腹腔镜与开腹手术治疗卵巢子宫内膜异位囊肿疗效比较  

Comparative study on the therapeutic effect of laparoscopic and open surgery for ovarian endometrioma

作　　者：杨琳娜[1] 徐琳[1] 敬晓涛[1] 

机构地区：[1]昆明医学院第一附属医院,云南昆明650032

出　　处：《腹腔镜外科杂志》2009年第5期389-391,共3页Journal of Laparoscopic Surgery

摘　　要：目的:比较初期开展腹腔镜手术与开腹手术治疗卵巢子宫内膜异位囊肿的疗效。方法:回顾分析2007年1月～10月我院收治58例卵巢子宫内膜异位囊肿患者的临床资料。58例中37例行腹腔镜手术,21例行开腹手术,比较两组手术时间、术中出血量、术后病率、抗生素应用时间、术后住院天数、术后镇痛泵使用率、切口愈合等情况。结果:腹腔镜组术中出血量、术后止痛药用量、发热时间、住院时间、抗生素使用时间均明显优于开腹组。结论:腹腔镜是诊治卵巢子宫内膜异位囊肿的金标准,需严格掌握其适应证,熟悉各种并发症的防治方法,掌握中转开腹时机。Objective：To compare the therapeutic effect of early-stage laparoscopic surgery and open surgery for ovarian endometrioma. Methods ： Clinical data of 58 cases with ovarian endometrioma undergoing surgical treatment （ 37 for laparoscopie surgery and 21 for open surgery） were analyzed retrospectively, and the operative time,intraoperative blood loss ,postoperative morbidity,the time of antibiotics use, postoperative hospitalization, the rates of analgesia pump use and incision healing were compared between the two groups. Results ： Compared with open surgery group, the laparoscopic group was of less intraoperative blood loss, lower rates of analgesia pump use,shorter time of hospitalization,operation,fever and antibiotics use. Conclusions：Laparoscopy is the gold standard for the diagnosis and treatment of ovarian endometrioma, during which strict indications, the time of conversion to open surgery, prevention and treatment of complications should be mastered.

关 键 词：腹腔镜术 剖腹术 卵巢囊肿 子宫内膜异位症 对比研究 

分 类 号：R713[医药卫生—妇产科学]