中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
12期
1-2
,共2页
卵巢子宫内膜异位囊肿%腹腔镜手术%开腹手术%不孕症%成功受孕率
卵巢子宮內膜異位囊腫%腹腔鏡手術%開腹手術%不孕癥%成功受孕率
란소자궁내막이위낭종%복강경수술%개복수술%불잉증%성공수잉솔
Ovarian endometriosis cyst%Laparoscopic operation%Open operation%Infertility%A successful pregnancy rate
目的：探讨开腹与腹腔镜治疗卵巢子宫内膜异位囊肿合并不孕症的治疗效果。方法随机选取100例来该院2011年1月-2014年1月间诊治的卵巢子宫内膜异位囊肿合并不孕症患者，按照随机分组法将其分为观察组与对照组各50例，观察组患者实施腹腔镜治疗，对照组患者进行开腹手术治疗，比较观察两组病人的临床治疗效果。结果观察组患者的治疗总有效率为94.00%，对照组患者的治疗总有效率为72.00%，前者明显后者，差异有统计学意义(P<0.05)；两组在手术时间、术中出血量以及肛门排气时间和住院时间方面对比，观察组均少于对照组，差异有统计学意义(P<0.05)；在术后复发率、成功受孕率及患者满意度方面，观察组分别为2.00%、44.00%及98.00%，均优于对照组的12.00%、20.00%及80.00%，差异有统计学意义(P<0.05)。结论卵巢子宫内膜异位囊肿合并不孕症的患者，通过实施腹腔镜手术治疗可以减少手术与住院时间、肛门排气时间及术中出血量，同时还能降低术后复发率，使受孕率提高，患者满意度增加，可以在临床进一步推广使用。
目的：探討開腹與腹腔鏡治療卵巢子宮內膜異位囊腫閤併不孕癥的治療效果。方法隨機選取100例來該院2011年1月-2014年1月間診治的卵巢子宮內膜異位囊腫閤併不孕癥患者，按照隨機分組法將其分為觀察組與對照組各50例，觀察組患者實施腹腔鏡治療，對照組患者進行開腹手術治療，比較觀察兩組病人的臨床治療效果。結果觀察組患者的治療總有效率為94.00%，對照組患者的治療總有效率為72.00%，前者明顯後者，差異有統計學意義(P<0.05)；兩組在手術時間、術中齣血量以及肛門排氣時間和住院時間方麵對比，觀察組均少于對照組，差異有統計學意義(P<0.05)；在術後複髮率、成功受孕率及患者滿意度方麵，觀察組分彆為2.00%、44.00%及98.00%，均優于對照組的12.00%、20.00%及80.00%，差異有統計學意義(P<0.05)。結論卵巢子宮內膜異位囊腫閤併不孕癥的患者，通過實施腹腔鏡手術治療可以減少手術與住院時間、肛門排氣時間及術中齣血量，同時還能降低術後複髮率，使受孕率提高，患者滿意度增加，可以在臨床進一步推廣使用。
목적：탐토개복여복강경치료란소자궁내막이위낭종합병불잉증적치료효과。방법수궤선취100례래해원2011년1월-2014년1월간진치적란소자궁내막이위낭종합병불잉증환자，안조수궤분조법장기분위관찰조여대조조각50례，관찰조환자실시복강경치료，대조조환자진행개복수술치료，비교관찰량조병인적림상치료효과。결과관찰조환자적치료총유효솔위94.00%，대조조환자적치료총유효솔위72.00%，전자명현후자，차이유통계학의의(P<0.05)；량조재수술시간、술중출혈량이급항문배기시간화주원시간방면대비，관찰조균소우대조조，차이유통계학의의(P<0.05)；재술후복발솔、성공수잉솔급환자만의도방면，관찰조분별위2.00%、44.00%급98.00%，균우우대조조적12.00%、20.00%급80.00%，차이유통계학의의(P<0.05)。결론란소자궁내막이위낭종합병불잉증적환자，통과실시복강경수술치료가이감소수술여주원시간、항문배기시간급술중출혈량，동시환능강저술후복발솔，사수잉솔제고，환자만의도증가，가이재림상진일보추엄사용。
Objective To study the effect of open and laparoscopic operation in the treatment of ovarian endometriosis cyst com-plicated with infertility. Methods 100 patients with ovarian endometriosis cyst complicated with infertility diagnosed and treated in our hospital from January 2011 to January 2014 were selected and randomly divided into the observation group and control group with 50 cases in each. The observation group were given laparoscopic operation for treatment, and the control group were given open operation. And the clinical treatment effect was observed and compared between the two groups. Results The overall response rate of the observation group was 94.00%, much higher than 72.00% of the control group with a statistically significant difference (P<0.05); compared with the control group, the duration of operation, intraoperative blood loss and anal exhaust time and hospital stay of the observation group was less respectively, with statistically significant difference (P<0.05); compared with the control group, the observation group had lower postoperative recurrence rate (2.00% versus 12.00%), higher successful pregnancy rate (44.00%versus 20.00%) and higher patient satisfaction (98.00%versus 80.00%) with statistically significant differences (P<0.05). Conclusion For patients with ovarian endometriosis cyst complicated with infertility, laparoscopic operation treatment can reduce the duration of operation and length of stay, anal exhaust time, intraoperative blood loss and postoperative recurrence rate as well as improve the rate of pregnancy, so it is worthy of further application and promotion in clinical practice.
