经腹腔镜治疗卵巢子宫内膜异位囊肿临床分析

目的探讨腹腔镜治疗卵巢子宫内膜异位囊肿治疗疗效。方法回顾性分析88例卵巢子宫内膜异位囊肿在腹腔镜下手术的经验。结果 88例通过腹腔镜成功完成手术,行卵巢子宫内膜异位囊肿剔除术85例(单侧53例,双侧32例)。单侧附件切除术1例,一侧附件切除术加对侧附件囊肿剔除2例。术后均病理证实。手术时间30～120min,失血量10～120mL,住院时间4～6天。并发症:腹壁伤口血肿2例,腹壁伤口感染1例,盆腔感染1例。68例盆腔疼痛患者,症状消失26例,占38.24%,症状缓解28例,占41.18%;7例不孕患者,3例妊娠;88例患者术后复发6例,占6.82%。结论腹腔镜手术是治疗卵巢子宫内膜异位囊肿得首选治疗方法。

Clinical Analysis of Laparoscopic Treatment for Ovarian Endometriosis Cysts

Objective To explore the clinical effect oflaparoscopic treatment for ovarian endometriosis cysts. Methods The operative experience of 88 cases of ovarian endometriosis cysts were analyzed retrospectively. Results All cases were operated successfully, with 85 cases of cystectomy for ovarian endometrioma （53 cases of unilateral, 32 cases of bilateral）, one case of unilateral uterine adnexectomy, 2 cases of unilateral uterine adnexectomy and resection for contralateral accessory cyst. All cases were confirmed by postoperative pathology. The operative time was 30 - 120 min, the bleeding loss volume was 10 - 120 mL, and the hospitalization time was 4 - 6 days. Complications： 2 cases of abdominal wall hematoma, 1 case of abdominal wall wound infection and 1 case of pelvic infection. Among 68 cases of pelvic pain, symptoms disappeared in 26 cases （38.24%）, symptom relieved in 28 cases （41.18%）. 6 cases （6.82%） had postoperative recurrence among 88 cases. Conclusions Laparoscopic surgery is the preferred treatment of choice for ovarian endometriosis cysts.