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目的:研究腹腔镜治疗卵巢子宫内膜异位囊肿合并不孕患者的临床疗效。方法:选取2008年1月-2010年1月在本院本科室90个卵巢子宫内膜异位囊肿并不孕的患者,根据手术方式分为腹腔镜组(46例)及开腹组(44例)。比较两组患者手术时间长短,术中出血量,肛门排气时间及住院时间,评价两组患者临床症状缓解情况及术后18月患者的妊娠率及复发率。结果:腹腔镜组手术时间、出血量、肛门排气时间及住院天数均少于开腹组(P<0.05),而术后总妊娠率为47.83%高于开腹组的29.55%(P<0.05),同时三大临床症状的缓解率及复发率与开腹组间无统计学差异(P>0.05)。结论:对于卵巢子宫内膜异位囊肿患者,腹腔镜手术可达到与开腹手术相同治疗效果,且具有微创,术后恢复快的特点,并且可获得高于开腹手术的术后妊娠率。
Objective: To study the clinical effect of laparoscopic treatment of ovarian endometriosis cyst with infertility. Methods: 90 ovarian endometriotic cysts in our hospital from January 2008 to January 2010 were enrolled in this study. They were divided into laparoscopic group (46 cases) and open group (44 cases) example). The duration of operation, blood loss, anal exhaust time and hospital stay were compared between the two groups to evaluate the clinical symptoms and the pregnancy rate and recurrence rate after 18 months. Results: The laparoscopic operation time, bleeding volume, anal exhaust time and hospitalization days were less than those in the open group (P <0.05), while the total postoperative pregnancy rate was 47.83% higher than that of the open group (29.55%, P < 0.05). At the same time, the remission rate and relapse rate of the three clinical symptoms were not significantly different from those in the open group (P> 0.05). Conclusion: For patients with ovarian endometriosis, laparoscopic surgery can achieve the same therapeutic effect as open surgery, and has the characteristics of minimally invasive and rapid recovery after operation, and can obtain higher postoperative pregnancy rate than open surgery .