CAJ | 학술논문

目的：观察腹腔镜手术治疗子宫内膜异位症的临床效果。方法资料选取本院2011年1月-2014年1月收治的子宫内膜异位症患者共90例，随机分为研究组与对照组；研究组45例予腹腔镜术治疗，对照组45例予开腹术治疗，观察两组手术指标及症状改善情况，行24个月随访观察复发情况。结果研究组手术指标均显著优于对照组，比较差异具统计学意义（P<0.05）；研究组性交痛（0.67±0.12）分、痛经（1.24±0.08）分、慢性盆腔炎性疼痛（0.77±0.31）分，均显著低于对照组，比较差异具统计学意义（P<0.05）；研究组中、重度分期患者的复发率均显著低于对照组，比较差异具统计学意义（P<0.05）。结论腹腔镜手术治疗子宫内膜异位症创伤性较小，症状改善情况好，术后复发率低。
목적：관찰복강경수술치료자궁내막이위증적림상효과。방법자료선취본원2011년1월-2014년1월수치적자궁내막이위증환자공90례，수궤분위연구조여대조조；연구조45례여복강경술치료，대조조45례여개복술치료，관찰량조수술지표급증상개선정황，행24개월수방관찰복발정황。결과연구조수술지표균현저우우대조조，비교차이구통계학의의（P<0.05）；연구조성교통（0.67±0.12）분、통경（1.24±0.08）분、만성분강염성동통（0.77±0.31）분，균현저저우대조조，비교차이구통계학의의（P<0.05）；연구조중、중도분기환자적복발솔균현저저우대조조，비교차이구통계학의의（P<0.05）。결론복강경수술치료자궁내막이위증창상성교소，증상개선정황호，술후복발솔저。
Objective To clinical observation of laparoscopic surgery for endometriosis in effect. Methods Select information in patients with endometriosis hospital in January 2011 January 2014 a total of 90 cases were treated randomly divided into study group and the control group;study group 45 cases of laparoscopic surgery for the treatment and control group 45 cases to laparoto-my therapy, surgery were observed indicators and improvement of symptoms, OK 24 months of follow-up observation of recurrence. Results Research operative indicators were significantly better than the control group, the difference was statistically significant (P<0.05);dyspareunia study group (0.67±0.12) points, dysmenorrhea (1.24±0.08) points, chronic pelvic pain (0.77±0.31) points, were significantly lower than the control group, the difference was statistically significant (P<0.05); study group, patients with mod-erate to severe stages of recurrence were significantly lower than the control group, the difference was statistically significant (P<0.05). Conclusion Laparoscopic surgery for endometriosis less invasive, improvement of symptoms is good, the recurrence rate.