腹腔镜手术治疗子宫内膜异位症150例临床疗效分析

目的探讨腹腔镜手术治疗子宫内膜异位症的方法和疗效。方法回顾分析150例子宫内膜异位症患者进行诊断和手术的临床资料。结果 148例在腹腔镜下完成手术,手术时间为40~125 min,出血量20~600mL,术中并发症发生率为0.5%,2例行子宫切除术时因粘连严重改为开腹手术,手术成功率为98.7%(148/150),术后随访2~15个月,共随访140例,随访率93.3%(140/150),症状消失112例,无1例复发,无1例需行第2次手术。结论腹腔镜手术治疗子宫内膜异位症安全、有效、利于恢复,尤其对合并不孕症患者,可明确诊断又可同时治疗,提高妊娠率。

Clinical Analysis of 150 Cases Laparoscopic Surgery for Endometriosis

Objective To investigate the method and effect of laparoscopic surgery for endometriosis.Methods Clinical data of diagnosis and surgery of 150 cases uterine endometriosis patients was retrospective analyzed.Results 148 cases patients were completed in laparoscopic surgery,operation time was 40125 minutes,blood loss was 20600mL,intraoperative complication rate was 0.5%,2 cases hysterectomy due to severe abdominal adhesions surgery,surgical success rate was 98.7%（148/150）,140 cases were followed up 2 to 15 months,followed-up rate was 93.3%（140/150）,symptoms disappeared in 112 patients,there was no recurrence and no patients required second surgery.Conclusion Laparoscopic surgery for endometriosis is safe,effective,and conducive to recovery,especially in patients with combined infertility,can be diagnosed and treated simultaneously to improve the pregnancy rate.