子宫内膜异位症的腹腔镜手术治疗效果评估  

Effect of Laparoscopic Surgery on Endometriosis

作　　者：陈晓芳 CHEN Xiaofang(Department of Obstetrics and Gynecology,Sihong Hospital,Suqian,Jiangsu Province,223900 China)

机构地区：[1]泗洪医院妇产科,江苏宿迁223900

出　　处：《中外医疗》2024年第12期42-45,共4页China & Foreign Medical Treatment

摘　　要：目的探析子宫内膜异位症的腹腔镜手术治疗效果。方法随机选取2020年8月—2023年8月在泗洪医院妇产科实施手术治疗的60例子宫内膜异位症患者为研究对象,按照入院的先后顺序分组,先入院的30例患者纳入经腹组,实施传统经腹手术;后入院的30例患者则纳入到腹腔镜组,予以腹腔镜手术。比较两组的手术效果、手术相关指标、疼痛程度、实验室相关指标水平、并发症发生情况。结果腹腔镜组的手术总有效率为100.00%,高于经腹组的86.67%,差异有统计学意义(χ^(2)=4.286,P=0.038)。腹腔镜组的手术相关指标和实验室相关指标均优于经腹组,差异有统计学意义(P均<0.05)。腹腔镜组的疼痛程度和并发症总发生率均低于经腹组,差异有统计学意义(P均<0.05)。结论应用腹腔镜手术治疗子宫内膜异位症效果确切,能进一步减轻对患者的损伤,在促进术后康复、维持内环境稳定等方面具有积极的作用,而且术后并发症少,安全性高。Objective To explore the effect of laparoscopic surgery on endometriosis.Methods A total of 60 patients with endometriosis who underwent surgical treatment in the obstetrics and gynecology department of Sihong Hospital from August 2020 to August 2023 were randomly selected as the study objects.According to the order of admission,30 patients admitted first were included in the transabdominal group and underwent traditional transabdominal surgery.The 30 patients admitted later were included in the laparoscopic group and underwent laparoscopic surgery.The operative effect,operative indicators,pain degree,laboratory-related indicators and complications were compared between the two groups.Results The total effective rate in laparoscopic group was 100.00%,higher than 86.67%in transabdominal group,the difference was statistically significant(χ^(2)=4.286,P=0.038).The operation-related indexes and laboratory-related indexes in the laparoscopic group were better than those in the transabdominal group,and the differences were statistically significant(all P<0.05).The pain degree and total complication rate of laparoscopic group were lower than those of transabdominal group,the differences were statistically significant(both P<0.05).Conclusion Laparoscopic surgery is effective in the treatment of endometriosis,can further reduce the damage to patients,and has a positive role in promoting postoperative rehabilitation and maintaining internal environment stability,and has fewer postoperative complications and high safety.

关 键 词：子宫内膜异位症 腹腔镜手术 经腹手术 效果 

分 类 号：R4[医药卫生—临床医学]