摘要
目的:比较腹腔镜微创手术与开腹手术治疗卵巢子宫内膜异位囊肿的临床效果。方法:2015年2月-2020年2月收治子宫内膜异位囊肿患者100例,按照手术方案不同分为两组,各50例。观察组行腹腔镜微创手术治疗;对照组行传统开腹手术治疗。比较两组治疗效果。结果:观察组术中出血量少于对照组,手术时间、肛门排气时间、住院时间均短于对照组,差异有统计学意义(P<0.05);观察组术后促卵泡激素(FSH)及促黄体生成素(LH)水平均低于对照组,雌二醇(E2)水平高于对照组,差异有统计学意义(P<0.05);观察组术后并发症发生率低于对照组,差异有统计学意义(P<0.05);两组复发率比较,差异无统计学意义(P>0.05)。结论:腹腔镜微创手术治疗子宫内膜异位囊肿的效果确切,能减少出血量和对卵巢功能的影响,继而促进患者术后及早康复。
Objective:To compare the clinical effects between laparoscopic minimally invasive surgery and open surgery in the treatment of ovarian endometriosis cysts.Methods:From February 2015 to February 2020,100 patients with endometriosis cyst were selected and divided into two groups according to the difference of surgical methods with 50 cases in each group.The observation group received laparoscopic minimally invasive surgery.The control group was treated with traditional open surgery.The therapeutic effects between the two groups were compared.Results:The intraoperative blood loss volume,anal exhaust time,operation time and hospital stay in the observation group were all lower than the control group,the differences were statistically significant(P<0.05).The levels of follicle stimulating hormone(FSH)and luteinizing hormone(LH)in the observation group were lower than the control group,and the level of estradiol(E2)in the observation group was higher than the control group,the differences were statistically significant(P<0.05).The incidence of postoperative complications in the observation group was lower than the control group,the difference was statistically significant(P<0.05).The recurrence rate of the two groups was compared,the difference was not statistically significant(P>0.05).Conclusion:Laparoscopic minimally invasive surgery in the treatment of endometriosis cysts is effective,can reduce the amount of blood loss volume and the impact on ovarian function,and then promote the early postoperative recovery of patients.
作者
郑学军
梁玉琴
Zheng Xuejun;Liang Yuqin(Department of Gynecology,Gaozhou Maternal and Child Health Care Hospital,Guangdong Maoming 525200)
出处
《中国社区医师》
2021年第31期51-52,共2页
Chinese Community Doctors
