摘要
目的探讨电视腹腔镜下重建盆腔结构手术治疗卵巢子宫内膜异位囊肿合并不孕症的临床价值。方法应用电视腹腔镜手术治疗卵巢子宫内膜异位囊肿合并不孕症患者40例,所有病例均行子宫内膜异位囊肿剔出术,并与经腹手术组40例作对照。结果术中出血量、术后用药日、术后住院日,两组比较有极显著性差异(P<0.01),术后妊娠率两组比较有显著性差异(P<0.05)。腹腔镜手术组无1例中转开腹,无严重并发症发生。术后随访6～10个月,术后妊娠率为45.1%。结论电视腹腔镜手术诊治子宫内膜异位症,能完成剖腹手术所能进行的手术操作并达到相应疗效,且具有损伤小、术后患者恢复快的优点,对于不孕患者可达到与剖腹手术相同的治疗效果。
Objective To study the clinical signification of video laparoscopic surgery for reconstructoon pelvic to therapy ovarian endometriosis following with barrenness. Methods Applying laparoscopic surgery to therapy patients for 40 cases who have ovarian endometrial cyst with barrenness, all cases have been taken kystis resection and contrasting to the group which has 40cases with abdominal surgery. Results Two groups have more significant difference with the blood quantity during operation, the time using medicine postoperation and time in hospital postoperation(p<0.01), two groups had significant difference with the pregnancy rate postoperatoon(p<0.05).The group with laparoscopic surgery has no one turn to abdominal surgery and without sebre complication. Supsequent visiting postoperatoon for 6-10 months, pregnancy rate is 45.1%. Conclusion Laproscopic surgery to diagnose and treat endometriosis can finish processing with abdominal surgery and achieve corresponding effictiveness, furthermore,itsinjury is small, it has the advantage of small rnjury and recovering quickly postoperatoon. To the patients of barrenness,it can attain to the same therapy effect,with abdominal surgery.
出处
《菏泽医学专科学校学报》
2005年第3期44-45,共2页
Journal of Heze Medical College
