CAJ | 학술논문

目的：探讨卵巢内异症囊肿盆腔内异症病灶的解剖学分布特征、囊肿大小、组织粘连程度及其与疼痛症状的相关性。方法选取我院妇科经腹腔镜手术治疗的342例卵巢内异症囊肿患者作为观察对象,根据患者临床症状是否具有疼痛进行分组,即疼痛组195例,无痛组147例。比较囊肿生长部位及大小对患者疼痛的影响关系,分析疼痛组患者是否存在内异症囊肿粘连、粘连部位与疼痛的关系。结果疼痛组患者手术时间较长,平均手术时间81.2 min；无痛组患者手术时间较疼痛组短,平均手术时间62.1 min。疼痛组患者平均出血量74.3 mL,高于对照组平均出血量56.2 mL。疼痛组患者囊肿平均直径11.26 cm,无痛组患者囊肿平均直径6.10 cm。疼痛组患者粘连情况显著高于对照组患者,患者中粘连情况最多发于卵巢,其次为输卵管。结论卵巢内异症患者疼痛症状与患者囊肿直径、与周围组织粘连程度有关。囊肿直径越大,与周围组织粘连越广泛,患者疼痛症状越为显著。
목적：탐토란소내이증낭종분강내이증병조적해부학분포특정、낭종대소、조직점련정도급기여동통증상적상관성。방법선취아원부과경복강경수술치료적342례란소내이증낭종환자작위관찰대상,근거환자림상증상시부구유동통진행분조,즉동통조195례,무통조147례。비교낭종생장부위급대소대환자동통적영향관계,분석동통조환자시부존재내이증낭종점련、점련부위여동통적관계。결과동통조환자수술시간교장,평균수술시간81.2 min；무통조환자수술시간교동통조단,평균수술시간62.1 min。동통조환자평균출혈량74.3 mL,고우대조조평균출혈량56.2 mL。동통조환자낭종평균직경11.26 cm,무통조환자낭종평균직경6.10 cm。동통조환자점련정황현저고우대조조환자,환자중점련정황최다발우란소,기차위수란관。결론란소내이증환자동통증상여환자낭종직경、여주위조직점련정도유관。낭종직경월대,여주위조직점련월엄범,환자동통증상월위현저。
s:Objective To explore the anatomical distribution characteristics of pelvic endometriosis lesion, size of the cyst, tissue ad-hesion degree and the correlation with the pain symptoms in patients with ovarian endometriosis cyst. Methods 342 cases of patients with o-varian endometriosis cyst who has underwent gynecologic laparoscopic surgical treatment in our hospital were selected as the research objects. According to the pain symptoms, they were divided into the pain group (195 cases) and the painless group (147 cases). The influence of cyst growth area and size on the pain symptoms were compared, and whether there were cyst adhesion and the relationship between adhesion area and pain were analyzed. Results The operation time of pain group was longer. The average operation time was 81. 2 min in pain group while it was 62. 1 min in painless group. The bleeding volum was 74. 3 mL in pain group which was higher than 56. 2 mL in the painless group. The average diameter of cyst was 11. 26 cm in the Pain group, and it was 6. 10 cm painless group. Rate of adhesions in patients of pain group was significantly higher than that of the painless group. Adhesion occured most frequently in ovary, followed by the fallopian tubes. Conclusion Pain symptoms have a close relation with cyst diameter and degree of surrounding tissue adhesion. As the cyst diameter get larger and the surrounding tissue adhesions grow broader, the pain symptoms would be more significant in patients .