摘要
目的分析腹腔镜手术治疗卵巢子宫内膜异位症的疗效。方法方便选择该院2014年9月-2015年11月内收治的114例卵巢子宫内膜异位症患者作为该次研究的对象,采用随机数表法按照1∶1比例进行分组,行传统开腹手术的一组设为对照组(n=57),行腹腔镜手术的一组设为研究组(n=57),对比观察两组患者的临床疗效,通过3年随访,统计妊娠情况。结果①评价疗效,研究组总有效率为96.4%(55/57),对照组为84.2%(48/57),两组比较,差异有统计学意义(χ^2=8.496,P=0.003);②观察手术各项指标,研究组手术时间、住院时间短于对照组,术中出血量比对照组少,差异有统计学意义(t=22.701、20.651、11.717,P<0.01);③经3年随访,研究组28例妊娠,对照组16例妊娠,妊娠率比较(49.2%vs 28.1%),差异有统计学意义(χ^2=9.388,P=0.002)。结论相比传统开腹手术,腹腔镜手术治疗卵巢子宫内膜异位症,疗效确切,值得推广借鉴。
Objective To analyze the efficacy of laparoscopic surgery for ovarian endometriosis. Methods 114 patients with ovarian endometriosis admitted to our hospital from September 2014 to November 2015 were conveniently selected as subjects of this study. They were randomly divided into groups according to a 1:1 ratio. One group of the operation was set as the control group(n=57), and one group underwent laparoscopic surgery as the study group(n=57). The clinical efficacy of the two groups of patients was compared. The pregnancy was counted through 3 years of follow-up. Results 1.The efficacy was evaluated. The total effective rate was 96.4%(55/57) in the study group and 84.2%(48/57) in the control group. The difference between the two groups was statistically significant(χ^2=8.496, P=0.003);2.observation of surgical indicators, the study group surgery time, hospitalization time is shorter than the control group, intraoperative blood loss was less than the control group, the difference was statistically significant(t=22.701、20.651、11.77, P<0.01);3.At 3 years follow-up, 28 cases of pregnancy in the study group and 16 cases of pregnancy in the control group, the pregnancy rate was compared(49.2%vs 28.1%), the difference was statistically significant(χ^2=9.388, P =0.002). Conclusion Compared with traditional open surgery, laparoscopic surgery for ovarian endometriosis is effective and worthy of promotion.
作者
曹玉兰
CAO Yu-lan(Department of Obstetrics and Gynecology, Wanyuan Central Hospital, Dazhou, Sichuan Province, 636350 China)
出处
《中外医疗》
2019年第20期31-33,共3页
China & Foreign Medical Treatment
关键词
腹腔镜手术
卵巢
子宫
内膜异位症
疗效观察
Laparoscopic surgery
Ovary
Uterus
Endometriosis
Observation of curative effect
