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目的 比较腹腔镜手术与开腹手术治疗卵巢子宫内膜异位囊肿的效果。方法 回顾分析腹腔镜手术93例及开腹手术60例卵巢子宫内膜异位囊肿患者的临床资料, 比较两组术中、术后及随访情况。结果 腹腔镜组术中的出血量、术后肛门排气时间及术后住院天数均明显少于开腹组, 具有高度显著性差异(P<0 001); 两组患者术后痛经改善情况、复发率及妊娠情况相似, 无显著性差异(P>0 05)。结论 腹腔镜手术剔除子宫内膜异位囊肿具有与开腹手术相同的疗效, 且具有微创的特点, 应作为子宫内膜异位囊肿首选的治疗方法。
Objective To compare the efficacy of laparoscopic surgery and laparotomy in the treatment of ovarian endometriosis. Methods The clinical data of 93 patients with laparoscopic surgery and 60 patients with ovarian endometriosis undergoing laparotomy were retrospectively analyzed. The intraoperative, postoperative and follow-up were compared between the two groups. Results The amount of bleeding during laparoscopic surgery, the time of postoperative anal exhaust, and postoperative hospital stay were all significantly lower than those of the open group (P <0.001). The improvement of postoperative dysmenorrhea, The recurrence rate and pregnancy status were similar, with no significant difference (P> 0.05). Conclusions Laparoscopic surgery to remove endometriosis has the same curative effect as laparotomy and has the characteristics of minimally invasive surgery. It should be the first choice of endometriosis cyst.