腹腔镜骶前神经切断术治疗子宫内膜异位症合并痛经35例的疗效观察  

Therapeutic Efficacy of Laparoscopic Presacral Neurectomy in Treatment of 35 Patients with Endometriosis

作　　者：罗国辉 

机构地区：[1]湖南省浏阳市妇幼保健院,湖南浏阳410300

出　　处：《实用预防医学》2011年第9期1706-1707,共2页Practical Preventive Medicine

摘　　要：目的探讨腹腔镜骶前神经切断术治疗子宫内膜异位症合并痛经患者的临床疗效。方法选取2009年1-11月期间浏阳市妇幼保健院收治的子宫内膜异位症合并痛经患者72例,随机分成两组:观察组35例,接受腹腔镜骶前神经切断术;对照组37例,接受腹腔镜病灶切除术。所有患者均术后随访18个月经周期,现比较两组患者的手术疗效。结果观察组的手术时间、住院时间显著短于对照组,术中出血量显著少于对照组,两组比较差异有统计学意义(P<0.05)。观察组术后3、6、12、18个月的痛经缓解效果均显著优于对照组,两组比较差异有统计学意义(P均<0.05)。结论腹腔镜骶前神经切断术治疗子宫内膜异位症合并痛经具有恢复快、术中创伤小等优点,且疗效显著,值得临床上推广与应用。Objective To explore the therapeutic effect of laparoscopic presacral neurectomy in the treatment of endometriosis complicated with dysmenorrhea.Methods Seventy-two patients with endometriosis complicated with dysmenorrhea admitted to Liuyang Municipal Hospital of Maternal and Child Health from January to November,2009 were randomly divided into two groups.35 patients in observation group received laparoscopic presacral neurectomy,while 37 patients in control group received laparoscopic lesion resection.All patients were followed up for 18 menstrual cycles,and then we compared the surgical efficacy between the two groups.Results There were statistically significant differences in operation time,hospital stay,and blood loss in operation between observation group and control group（P0.05）.The surgical efficacy of observation group at the 3rd,6th,12th,and 18th months after laparoscopic operation was better than that in control group,respectively,and the difference was statistically significant between the two groups（all P0.05）.Conclusions Endometriosis complicated with dysmenorrhea treated with laparoscopic presacral neurectomy is of quick recovery,little trauma,and significant effect,so it is worthy of being popularized and applied in clinical practice.

关 键 词：骶前神经切断术 子宫内膜异位症 痛经 

分 类 号：R711.71[医药卫生—妇产科学]