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目的探讨腹腔镜手术治疗卵巢子宫内膜异位囊肿的临床疗效和优点。方法对2009年4月至2010年9月我院收治的322例卵巢子宫内膜异位囊肿患者的临床资料进行回顾性分析。随机将其分为实验组和对照组,实验组用腹腔镜手术治疗(n=166),对照组组为开腹治疗(n=166),比较2组手术时间、术中出血量、术后住院时间、术后肛门排气时间、抗生素应用时间、切口愈合等情况。结果腹腔镜组术中出血量少于开腹组(P<0.05),手术时间、术后住院时间、术后肛门排气时间、抗生素应用时间均短于开腹组(P<0.05)。结论腹腔镜手术治疗卵巢子宫内膜异位囊肿具有开腹手术相同的疗效且具有创伤少、恢复快,盆腔粘连发生率低等优点,是一种较理想的治疗方法,值得在临床推广试用。
Objective To investigate the clinical efficacy and advantages of laparoscopic surgery for ovarian endometriosis cyst. Methods The clinical data of 322 patients with ovarian endometriosis treated in our hospital from April 2009 to September 2010 were retrospectively analyzed. The patients in the experimental group were treated with laparoscopic surgery (n = 166) and the control group with laparotomy (n = 166). The operation time, blood loss, Hospital stay, postoperative anal exhaust time, antibiotic application time, incision healing and so on. Results The bleeding volume in laparoscopic group was less than that in open group (P <0.05). The operation time, postoperative hospital stay, postoperative anal exhaust time and antibiotic application time were shorter than those in open group (P <0.05). Conclusion Laparoscopic surgery for ovarian endometriosis cyst has the same effect of laparotomy and has the advantages of less trauma, faster recovery and lower incidence of pelvic adhesions. It is an ideal treatment and worthy of clinical trial.