腹腔鏡與開腹治療卵巢子宮內(nèi)膜異位囊腫的臨床對(duì)比研究

趙薇 王玫 任景芳

【摘要】目的：探究與分析腹腔鏡與開腹治療卵巢子宮內(nèi)膜異位囊腫的臨床效果。方法：選取我院自2011年8月至2015年8月收治的150例卵巢子宮內(nèi)膜異位囊腫患者，按照手術(shù)方式的不同分為腹腔鏡組與開腹組，每組各75例，對(duì)比兩組患者圍術(shù)期各指標(biāo)、主要癥狀緩解率，隨訪期間復(fù)發(fā)率。結(jié)果：腹腔鏡較開腹組相比手術(shù)時(shí)間、肛門排氣時(shí)間、術(shù)后住院時(shí)間均明顯縮短，術(shù)中出血量較少，術(shù)后鎮(zhèn)痛劑使用率降低，差異均具有統(tǒng)計(jì)學(xué)意義（P<0.05）。開腹組與腹腔鏡組痛經(jīng)、性交痛、慢性盆腔痛、月經(jīng)紊亂緩解率均無明顯差異（P>0.05）。開腹組與腹腔鏡組相比隨訪6個(gè)月、1年、2年復(fù)發(fā)率相比均無明顯差異（P>0.05）。結(jié)論：采用腹腔鏡治療卵巢子宮內(nèi)膜異位囊腫的臨床效果顯著，相比于開腹組更具優(yōu)勢，值得推廣。

【關(guān)鍵詞】腹腔鏡手術(shù)；開腹手術(shù)；卵巢子宮內(nèi)膜異位囊腫

Laparoscopy and laparotomy in the treatment of ovarian endometriosis cystZHAO Wei， WANG Mei， REN Jingfang. Department of Obstetrics and Gynecology， The 302 Hospital of Chinese Peoples Liberation Army， Beijing 100039， China

【Abstract】Objectives： To probe into and analyze effect of laparoscopy and laparotomy for treatment of ovarian endometriosis cyst. Methods： 150 ovarian endometriosis cyst patients treated in our hospital from August 2011 to August 2015 were selected， and divided into laparoscopy group and laparotomy group， 75 cases in each group. The perioperative index， main symptom remission rate， recurrence during the follow-up period was compared between the two groups. Results： The operation time， anus exhaust time， postoperative hospital stay of laparoscopy group was significantly shorter， with less intraoperative blood loss and reduced postoperative analgesic usage， all with statistically significant difference （P<0.05）. Difference in dysmenorrhea， dyspareunia， chronic pelvic pain and menstrual disorder remission rate was not statistically significant between the two groups （P>0.05）. The recurrence in 6 months， 1 year and 2 years follow-up was not significantly different （P>0.05）. Conclusions： Laparoscopic treatment of ovarian endometriosis cyst has remarkable clinical effect with more advantages， which is worth promoting.

【Key words】Laparoscope； Laparotomy； Ovarian endometriosis cyst

【中圖分類號(hào)】R713.6【文獻(xiàn)標(biāo)志碼】A

卵巢子宮內(nèi)膜異位囊腫可作為臨床上一類較為常見的婦產(chǎn)科疾病，多以生育期女性為主要發(fā)病人群，具有復(fù)雜的發(fā)病率機(jī)制，且易復(fù)發(fā)，因其病灶多位于腹膜或盆腔臟器，臨床上多表現(xiàn)為盆腔疼痛、痛經(jīng)、大出血等癥狀，嚴(yán)重時(shí)可導(dǎo)致不孕，對(duì)女性患者的生殖健康造成諸多影響[1]。目前臨床上針對(duì)卵巢子宮內(nèi)膜異位的治療多以手術(shù)為主，但手術(shù)創(chuàng)傷較大且恢復(fù)速度慢，為此，臨床上逐漸將腹腔鏡應(yīng)用于治療中，發(fā)現(xiàn)其能夠縮短手術(shù)時(shí)間及術(shù)后康復(fù)時(shí)間，并減少術(shù)中出血量，充分體現(xiàn)了微創(chuàng)手術(shù)的優(yōu)勢[2]。本文即圍繞開腹手術(shù)與腹腔鏡手術(shù)治療卵巢子宮內(nèi)膜異位癥囊腫展開，結(jié)果總結(jié)報(bào)告如下。