腹腔镜手术治疗子宫内膜异位症的临床疗效及安全性  

Analysis of the effect of laparoscopic surgery in the treatment of endometriosis

作　　者：张海荣 李永兴 ZHANG Hairong;LI Yongxing(Health Management Center,North east International Hospital,Shenyang,Liaoning,110000,China;Department of Health Medicine Ultrasound,Heping Branch of the General Hospital of the Northern Theater Command,Shenyang,Liaoning,110000,China)

机构地区：[1]东北国际医院健康管理中心,辽宁沈阳110000 [2]北部战区总医院和平分院健康医学科,辽宁沈阳110000

出　　处：《当代医学》2023年第10期177-180,共4页Contemporary Medicine

摘　　要：目的探究腹腔镜手术治疗子宫内膜异位症的临床疗效及安全性。方法选取2020年3月至2021年5月本院收治的80例子宫内膜异位症患者作为研究对象,按照手术方案不同分为两组,各40例。对照组行开腹手术,观察组行腹腔镜手术,比较两组围手术期指标[手术时间、术中出血量及视觉模拟评分法(VAS)评分]、手术前后激素[血清雌二醇(E_(2))、卵泡刺激素(FSH)、促黄体素(LH)]水平、并发症发生情况、远期疗效。结果观察组手术时间短于对照组,术中出血量少于对照组,VAS评分低于对照组,差异有统计学意义(P<0.05)。术前,两组E_(2)、FSH、LH水平比较差异无统计学意义;术后,观察组E_(2)、FSH、LH水平均高于术前,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率为5.00%,低于对照组的20.00%,差异有统计学意义(P<0.05)。术后12个月,观察组妊娠率高于对照组,复发率低于对照组,差异有统计学意义(P<0.05)。结论腹腔镜手术在子宫内膜异位症治疗中的近远期效果较理想,可缩短手术时间,减少术中出血量,缓解术后疼痛症状,调节机体激素水平,减少并发症,提高妊娠率,减少复发率,值得临床推广应用。Objective To explore the clinical efficacy and safety of laparoscopic surgery in the treatment of endometriosis.Methods A total of 80 patients with endometriosis admitted to our hospital from March 2020 to May 2021 were selected as the research subjects,and they were divided into two groups according to different surgical protocols,with 40 cases in each group.The control group underwent open surgery,and the observation group underwent laparoscopic surgery,the perioperative period index(operation time,intraoperative blood loss and visual analogue scale[VAS]),the levels of hormones(serum estradiol[E_(2)],follicle stimulating hormone[FSH],luteinizing hormone[LH])before and after operation,the occurrence of complications,and the long-term efficacy were compared between the two groups.Results The operation time in the observation group was shorter than that in the control group,the amount of blood loss during operation was less than that in the control group,and the VAS score was lower than that of the control group,the differences were statistically significant(P<0.05).Before operation,there was no significant difference in E_(2),FSH and LH levels between the two groups;after operation,the levels of E_(2),FSH and LH in the observation group were higher than those before operation,and the observation group was higher than the control group,the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 5.00%,which was lower than 20.00%in the control group,and the difference was statistically significant(P<0.05).12 months after operation,the pregnancy rate in the observation group was higher than that in the control group,and the recurrence rate was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The short and long term effect of laparoscopic surgery in the treatment of endometriosis is ideal,it can shorten operation time,reduce intraoperative blood loss,relieve postoperative pain symptoms,regulate body hormone l

关 键 词：妇科 子宫内膜异位症 腹腔镜手术 激素水平 远期效果 

分 类 号：R711[医药卫生—妇产科学]