中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2013年
32期
40-40,42
,共2页
子宫内膜异位症%腹腔镜%临床疗效
子宮內膜異位癥%腹腔鏡%臨床療效
자궁내막이위증%복강경%림상료효
Endometriosis%Laparoscope%Clinical curative effect
目的：探讨腹腔镜治疗子宫内膜异位症的临床效果。方法将2009年12月至2012年12月我院收治的子宫内膜异位症患者84例，随机分为观察组42例（腹腔镜手术治疗）和对照组42例（开腹手术治疗），对两组的治疗效果及随访结果进行对比。结果两组手术时间、手术后痛经及性交痛缓解率以及病症复发率相比差异均不具有显著性(P>0.05)；而观察组的术中出血量、伤口愈合时间以及术后住院时间等均优于对照组，两组差异具有显著性(P<0.05)；此外，观察组妊娠率为61.90%(26/42)，对照组妊娠率为40.48%(17/42)，两组妊娠率相比差异也具有显著性(P<0.05)。结论通过采用腹腔镜手术治疗子宫内膜异位症能够有效提高该病症的诊断率和治愈率，并且还可以明显降低复发率，是目前临床上治疗该病症应用最多的一种方法。
目的：探討腹腔鏡治療子宮內膜異位癥的臨床效果。方法將2009年12月至2012年12月我院收治的子宮內膜異位癥患者84例，隨機分為觀察組42例（腹腔鏡手術治療）和對照組42例（開腹手術治療），對兩組的治療效果及隨訪結果進行對比。結果兩組手術時間、手術後痛經及性交痛緩解率以及病癥複髮率相比差異均不具有顯著性(P>0.05)；而觀察組的術中齣血量、傷口愈閤時間以及術後住院時間等均優于對照組，兩組差異具有顯著性(P<0.05)；此外，觀察組妊娠率為61.90%(26/42)，對照組妊娠率為40.48%(17/42)，兩組妊娠率相比差異也具有顯著性(P<0.05)。結論通過採用腹腔鏡手術治療子宮內膜異位癥能夠有效提高該病癥的診斷率和治愈率，併且還可以明顯降低複髮率，是目前臨床上治療該病癥應用最多的一種方法。
목적：탐토복강경치료자궁내막이위증적림상효과。방법장2009년12월지2012년12월아원수치적자궁내막이위증환자84례，수궤분위관찰조42례（복강경수술치료）화대조조42례（개복수술치료），대량조적치료효과급수방결과진행대비。결과량조수술시간、수술후통경급성교통완해솔이급병증복발솔상비차이균불구유현저성(P>0.05)；이관찰조적술중출혈량、상구유합시간이급술후주원시간등균우우대조조，량조차이구유현저성(P<0.05)；차외，관찰조임신솔위61.90%(26/42)，대조조임신솔위40.48%(17/42)，량조임신솔상비차이야구유현저성(P<0.05)。결론통과채용복강경수술치료자궁내막이위증능구유효제고해병증적진단솔화치유솔，병차환가이명현강저복발솔，시목전림상상치료해병증응용최다적일충방법。
Objective To investigate the clinical effect of laparoscopic treatment of endometriosis. Method Between December 2009 and December 2009, our hospital 84 cases of patients with endometriosis, 42 patients were randomly divided into observation group (laparoscopic surgery) and the control group, 42 cases (laparotomy) treatment, the treatment effect and follow-up results of two groups of comparisons. Results Two groups of operation time, pain after the operation, and sexual intercourse pain remission rate and disease recurrence rate than differences are not significant (P>0.05);the observation group of intraoperative blood loss, wound healing time and postoperative hospital stay were superior to control group, two groups have significant difference (P<0.05);in addition, the observation group, the pregnancy rate was 61.90%(26/42) and control group in the pregnancy rate was 40.48%(17/42), the pregnancy rate compared to similar between the two groups is significant (P<0.05). Conclusion By using laparoscopic surgery in the treatment of endometriosis can effectively improve the diagnosis of the disease and the cure rate, and also can obviously decrease the recurrence rate, is the present clinical a method for the treatment of the disease most used.
