腹腔镜下治疗子宫内膜异位症的临床研究  

Clinical study on laparoscopic treatment of endometriosis

作　　者：付冬梅[1] 甘秀华[1] 卢惠琼[1] 

机构地区：[1]广东省博罗县人民医院妇产科,516100

出　　处：《齐齐哈尔医学院学报》2013年第9期1330-1332,共3页Journal of Qiqihar Medical University

摘　　要：目的分析腹腔镜下治疗子宫内膜异位症的临床效果,并为该病的最优化治疗提供理论性指导。方法选取我院妇产科于2010年3月～2012年2月收治的100例子宫内膜异位症患者,利用随机数字表法进行分组,分别设为研究组和对照组,每组各50例。其中研究组采取腹腔镜手术治疗,而对照组采取传统开腹手术治疗。记录两组患者手术持续时间、术后出血量、肛门排气时间、手术切口愈合时间及住院时间,并做好对比。待两组患者出院后,对其随访1年,记录1年内妊娠率。结果 (1)研究组手术时间为(118.7±37.7)min,对照组为(126.8±30.2)min,两组之间不存在统计学差异(P>0.05)。研究组术后出血量、肛门排气时间、切口愈合时间和住院时间分布为(47.8±26.2)ml、(22.8±5.2)h、(3.23±1.1)d、(4.13±1.6)d,对照组分别为(139.2±55.2)ml、(39.0±1.5)h、(6.20±1.6)d、(6.91±2.1)d,两组之间均存在明显统计学差异(P<0.05)。(2)研究组1年内妊娠率为68.0%,对照组为41.0%,两组之间存在统计学差异(P<0.05)。结论对于子宫内膜异位症患者而言,开展腹腔镜下治疗相较于开腹手术能够促进患者预后康复,并提高妊娠率。Objective To analyze the clinical effects of laparoscopic treatment of endometriosis and provide theoretical guidance for the treatment of the disease.Methods The obstetrics and gynecology hospital in March,2010 ~ in February,2012 year,100 cases of patients with endometriosis,using random number table group,were divided into study group and control group,each group of 50 cases.The research group used laparoscopic operation in the treatment,while the control group took the traditional open operation treatment.Record two groups of patients＇ operation duration,postoperative bleeding,anal exhaust time,wound healing time of operation and hospitalization time,and made a contrast.The two groups of patients after discharge got the follow-up of 1 year,recorded the pregnancy rate within 1 year.Results The operation time in study group（118.7 ± 37.7） min,the control group（126.8 ± 30.2） min,there was no statistically significant difference between the two groups（P0.05）.The amount of bleeding,anal exhaust time,wound healing time and hospitalization time distribution for the study group were（47.8±26.2）ml,（22.8±5.2）h,（3.23±1.1）d,（4.13 ± 1.6） d,the control group were（139.2 ± 55.2） ml,（39 ± 1.5） h,（6.20 ± 1.6） d,（6.91 ±2.1） d,there were significant differences between the two groups（P 0.05）.The study group of 1 year,the pregnancy rate was 68%,41% in the control group,there was significant difference between the two groups（P 0.05）.Conclusions For patients with endometriosis,laparoscopic treatment compared with open operation can improve the prognosis of patients with rehabilitation,and improve the pregnancy rate.

关 键 词：腹腔镜 子宫内膜异位症 手术时间 预后康复 

分 类 号：R711.71[医药卫生—妇产科学]