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目的探讨腹腔镜治疗子宫内膜异位症的临床疗效,进一步指导临床。方法选取本院2011年1月~2013年1月住院手术治疗的子宫内膜异位症患者78例,按照随机对照的原则,将患者平均分为两组,观察组和对照组,每组各39例,观察组39例患者住院后给予腹腔镜手术治疗,而对照组39例患者住院后给予开腹手术治疗,观察两组的手术时间、术中出血量、术后复发率以及术后妊娠率进行对比分析。结果观察组的手术时间、术中出血率明显少于对照组,差异具有统计学意义(P<0.05),观察组的术后复发率明显低于对照组,差异具有统计学意义(P<0.05),观察组的术后妊娠率明显高于对照组,差异具有统计学意义(P<0.05)。结论腹腔镜手术治疗子宫内膜异位症具有手术时间短、术中出血量少、恢复快、术后妊娠率高等优点,值得临床推广应用。
Objective To investigate the clinical efficacy of laparoscopy in the treatment of endometriosis and further guide the clinical practice. Methods Seventy-eight patients with endometriosis admitted to our hospital from January 2011 to January 2013 were randomly divided into two groups according to the principle of randomized control: the observation group and the control group 39 patients in the observation group and 39 patients in the observation group were treated with laparoscopy after hospitalization while 39 patients in the control group were given laparotomy after hospitalization. The operation time, blood loss, postoperative recurrence rate and postoperative pregnancy rate Rate of comparative analysis. Results The operation time and intraoperative hemorrhage rate in the observation group were significantly less than those in the control group (P <0.05). The recurrence rate in the observation group was significantly lower than that in the control group (P <0.05) ). The postoperative pregnancy rate in the observation group was significantly higher than that in the control group, the difference was statistically significant (P <0.05). Conclusion Laparoscopic surgery for endometriosis has the advantages of short operative time, less blood loss, faster recovery and higher postoperative pregnancy rate, which is worthy of clinical application.