摘要
目的:通过对开腹和腹腔镜手术治疗卵巢子宫内膜异位症的比较,探讨腹腔镜手术临床应用价值。方法:回顾分析近5年在我院行手术治疗卵巢子宫内膜异位症的病例资料,术后随访12-60个月。结果:腹腔镜组术中出血量、肛门排气时间、停留尿管时间、拆线时间及术后住院日明显小于开腹组,手术时间、术后最高体温、术后发热及术后伤口感染两组相近,随访术后痛经缓解率、术后复发率、术后妊娠率两组间差异无显著性。结论:腹腔镜手术治疗卵巢子宫内膜异位症疗效与开腹手术相当,但腹腔镜手术具微创、安全、术后恢复快等特点。
Objective:To compare the effect of laparoscopic surgery versus laparotomy for ovarian endometriosis. Methods: Patients with ovarian endometriosis were divided into two groups, laparoscopy and laparotomy group, who were followed up postoperatively for 12 -60 months. Results: The amount of blood lost during the laparoscopy group was significantly less than that in laparotomy group, operatin time was similar between the two group. The postopera- tive recovery in laparoscopie group was signigicantly less than in laparotomy . There were no differences in postoperative malady rate, symptoms remission, pregnancy rate and disease recurrent rate between two groups. Conclusion: Laparoscopie operation for ovarian endometriosis is as effective as laparotomy, but laparoscopic treatment of endome- triosis is microinvasive, safely ,rapid postoperative recovery and can be performed widely.
出处
《现代肿瘤医学》
CAS
2011年第1期138-140,共3页
Journal of Modern Oncology