腹腔镜手术治疗卵巢子宫内膜异位囊肿126例临床分析  

Clinical Analysis of Laparoscopic Surgery for Ovarian Endometrial Cyst of 126 Cases

作　　者：李长华[1] 华馥[1] 高迎春[1] 丁红岩[1] 

机构地区：[1]淮安市第一人民医院妇科,江苏淮安223001

出　　处：《中华妇幼临床医学杂志（电子版）》2010年第1期36-38,共3页Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition)

摘　　要：目的探讨腹腔镜手术治疗卵巢子宫内膜异位囊肿的临床疗效。方法回顾性分析2006年1月至2008年12月本院收治的265例卵巢子宫内膜异位囊肿患者的临床资料。按手术术式将其分为腹腔镜组(n=126)和开腹组(n=139),比较两组手术时间、术中出血量、术后病率、抗生素应用时间、术后住院时间、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、术后止痛药用量均少于或短语开腹组(P<0.05),术后发热时间、住院时间、抗生素使用时间均短于开腹组(P<0.05)。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 discuss the therapeutic effects of laparoscopic surgery for ovarian endometrial cyst. Methods From January 2006 to December 2008, the clinic data of 265 cases with ovarian endometriosis were retrospective analyzed. They were divided into laparoseopic surgery group （n=126） and laparotomy group （n = 139） according to the surgical procedures. The surgical time, bleeding volume, postoperative morbidity, antibiotics application time, hospitalization time, postoperative analgesia pump usage, and wound healing were compared between two groups. Results The bleeding volume, dosage of painkiller of laparoscopic surgery group were smaller or shorter than those of laparotomy group（P〈0.05）. The postoperative fever days, hospitalization time, and antibiotics application time of laparoscopic surgery group were shorter than those of laparotomy group （P〈 0.05）. Conclusion Laparoscopy is the gold standard of diagnosis and treatment of ovarian endometrial cyst. The clinic doctors should strictly master the indications, complications, prevention and treatment of ovarian endometrial cyst with a variety of methods and conversion time.

关 键 词：腹腔镜术 剖腹术 卵巢囊肿 子宫内膜异位囊肿 

分 类 号：R713.5[医药卫生—妇产科学]