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目的:观察腹腔镜手术治疗卵巢子宫内膜异位囊肿的临床疗效及安全性。方法:选取我院自2009-03～2011-05收治的130例卵巢子宫内膜异位囊肿患者作为研究对象,按照手术方法不同分为观察组(腹腔镜手术组)和对照组(传统开腹手术组)各65例,比较两组患者的手术指标及治疗效果。结果:(1)两组患者手术均获成功,腹腔镜组无中转开腹手术病例,两组患者手术时间比较无明显差异(P>0.05),但观察组术中出血量及术后住院时间较对照组明显降低(P<0.01),具有统计学意义。(2)观察组术后未见明显并发症,对照组术后切口感染2例,肠粘连1例。随访1a观察组术后复发3例,复发率为4.6%;对照组术后复发2例,复发率为3.1%。结论:腹腔镜手术治疗卵巢子宫内膜异位囊肿具有创伤小、术后康复快、并发症少的优点,是当前治疗卵巢子宫内膜异位囊肿的首选方法。
Objective: To observe the clinical efficacy and safety of laparoscopic surgery for ovarian endometriosis cyst. Methods: A total of 130 cases of ovarian endometriotic cysts admitted to our hospital from March 2009 to May 2011 were selected as the research object. According to the different surgical methods, the patients were divided into observation group (laparoscopic surgery group) and control group Surgery group) of 65 cases, the surgical indicators and treatment effect of two groups were compared. Results: (1) Surgery was successful in both groups. There were no cases of laparotomy in laparoscopic group. There was no significant difference in operative time between two groups (P> 0.05), but the intraoperative blood loss and postoperative hospital stay Compared with the control group was significantly lower (P <0.01), with statistical significance. (2) There was no obvious complication in the observation group after operation, in the control group, 2 cases were incisional wound infection and 1 case of intestinal adhesion. Follow-up 1a observation group 3 cases of postoperative recurrence, the recurrence rate was 4.6%; control group 2 cases of recurrence, the recurrence rate was 3.1%. Conclusion: Laparoscopic surgery for the treatment of ovarian endometriotic cyst has the advantages of less trauma, faster recovery and fewer complications. It is the first choice for the treatment of ovarian endometriosis cyst.