摘要
目的:探讨电视腹腔镜治疗卵巢子宫内膜异位症的临床效果。方法:对52例卵巢子宫内膜异位症患者施行了腹腔镜下异位病灶电灼术、卵巢异位内膜囊肿剥除术及附件切除术,通过随访观察疗效。结果:52例手术均未发生严重并发症。随访2～24个月,随访率92.3%(48/52)。39例痛经患者症状完全缓解24例,部分缓解8例,总有效率82.05%,18例不孕症患者受孕10例,妊娠率55.56%。术后复发4例,复发率7.69%。结论:腹腔镜治疗卵巢子宫内膜异位症有创伤小、恢复快、出血少、不易复发的优点,适于临床广泛开展。
Objective: To evaluate the effect of video laparoscopic treatment in patients with ovarian endometriosis. Method:52 patients with ovarian endometriosis were performed with electric cautery of endometriotic lesions, ovarian endometriotic cysts enucleation and adnexectomy. The curative effect was observed by follow-up. Results: All patients were successfully managed by laparoscopy without major perioperative complications. The patients were followed for 2 to 12 months, the rate was 92.3%. Of 24 among 39 cases with dysmenorrhea were achieved complete remission, 8 cases achieved imcomplete remission, total improvement rate was 82.05%. Of 10 among 18 cases with infertility conceived (55.56%). Four cases showed recurrence, the rate was 7.69%. Conclusion: Treating ovarian endometriosis with laparoscopy has many advantages such as little injury, quick recover, less bleeding and low recurrence, and can be performed widely.
出处
《河北医学》
CAS
2005年第8期748-750,共3页
Hebei Medicine
