腹腔镜子宫内膜异位症粘连分离的临床体会

目的:探讨腹腔镜手术治疗子宫内膜异位症盆腔粘连的优势。方法:为30例患者行开腹手术,54例患者行腹腔镜手术;明确分期后施术,根据患者年龄、分期、有无合并症及生育要求制定个体化手术方案。结果:开腹组术中出血量平均(136.57±83.24)ml,术后平均住院(7.26±0.82)d,术后排气时间平均(31.35±7.27)h,6例复发,复发率20.00%。腹腔镜组术中出血量平均(57.36±33.73)ml,术后平均住院(4.69±0.77)d,术后排气时间平均(21.22±5.45)h,5例复发,复发率9.26%。结论:腹腔镜手术相对开腹手术,患者创伤小、术中出血少、术后康复快,可作为治疗子宫内膜异位症的首选术式。

The experience of laparoscopic treatment of endometriosis

Objective:To investigate the advantages of laparoscopic treatment of endometriosis.Methods:Eighty-four patients underwent open(n=30) or laparoscopy(n=54) respectively.Operations were performed after clearing the classification of endometriosis.Individual operative program was made according to the age,stage,complication and childbearing demand of patients.Results:Blood loss was(136.57±83.24) ml in open group and(57.36±33.73) ml in laparoscopic group.The postoperative exhaust time was(31.35±7.27) h in open group and(21.22±5.45) h in laparoscopic group.Postoperative hospital stay was(7.26±0.82)d in open group and(4.69±0.77) d in laparoscopic group respectively.Postoperative recurrence rate was 20%(6/30) in open group and 9.26%(5/54) in laparoscopic group.Conclusions:Patients who undergo laparoscopic operation recover rapidly with less trauma and blood loss compared with open procedure.Laparoscopic surgery is the first surgical choice of endometriosis patients.