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目的:分析研究腹腔镜治疗子宫肌瘤及卵巢囊肿、不孕症的临床效果。方法:选取从2013年3月到2014年3月在我院进行治疗的子宫肌瘤及卵巢囊肿患者共40例,其中子宫肌瘤患者20例,卵巢囊肿患者20例。两组患者均采取经腹腔镜手术治疗,观察分析两组患者手术时间、术中出血量、术后并发症等临床资料,评价腹腔镜治疗的效果。结果:20例子宫肌瘤患者均顺利完成手术,手术时间为(51.8±21.8)min,术中出血量为(58.3±38.3)ml,住院时间为(5.9±1.8)d,同时没有中转开腹及严重并发症情况发生,随访1年内有6例患者怀孕。卵巢囊肿患同样顺利完成手术,手术时间为(57.8±26.3)min,术中出血量为(55.3±35.6)ml,住院时间为(6.4±1.2)d,同时没有中转开腹及严重并发症情况发生,随访1年内有7例患者怀孕。两组手术情况及效果无统计差异(p>0.05)。结论:经腹腔镜治疗子宫肌瘤与卵巢囊肿的效果显著,恢复快、损伤小、安全可靠、可维持患者正常生育功能,值得推广。
Objective: To analyze the clinical effect of laparoscopic treatment of uterine fibroids and ovarian cysts and infertility. Methods: From March 2013 to March 2014 in our hospital for treatment of uterine fibroids and ovarian cysts a total of 40 patients, including 20 cases of uterine fibroids, 20 cases of ovarian cysts. Two groups of patients were treated by laparoscopic surgery, observation and analysis of two groups of patients operating time, blood loss, postoperative complications and other clinical data to evaluate the effect of laparoscopy. Results: All the 20 patients with uterine fibroids successfully completed the operation. The operation time was (51.8 ± 21.8) min, the blood loss was (58.3 ± 38.3) ml and the hospitalization time was (5.9 ± 1.8) days. And serious complications occurred, 6 patients were followed up within 1 year of pregnancy. Ovarian cysts were also successfully completed surgery, the operation time was (57.8 ± 26.3) min, intraoperative blood loss was (55.3 ± 35.6) ml, hospital stay was (6.4 ± 1.2) d, while no transit laparotomy and serious complications Occurred, 7 patients were followed up within 1 year of pregnancy. There was no statistical difference between the two groups (p> 0.05). Conclusion: Laparoscopic treatment of uterine fibroids and ovarian cysts with significant effect, rapid recovery, less damage, safe and reliable, can maintain the normal function of patients with fertility, it is worth promoting.