腹腔镜子宫内膜异位症手术效果分析

目的探讨子宫内膜异位症的腹腔镜手术治疗评估分析腹腔镜手术对子宫内膜异位症的治疗效果。方法回顾性分析2015年1月-2018年6月期间在合肥市第二人民医院行腹腔镜手术治疗的子宫内膜异位症患者共81例为观察组,选取同期在合肥市第二人民医院行开腹手术治疗的子宫内膜异位症患者40例为对照组,比较2组在手术时间、术中出血量、术后住院天数、不良反应发生率、术后疼痛情况等方面的差异,2组患者术后均使用亮丙瑞林微球针皮下注射治疗4~6个月,术后随访36个月,比较2组子宫内膜异位症的复发率,同时比较2组40岁以下妇女妊娠率。结果观察组手术时间(56.23±8.59)min]、术中出血量(65.42±6.54)mL]、住院天数(5.23±1.24)d]与对照组(100.45±10.03)min、(105.63±8.26)mL、(7.24±2.56)d]相比,差异有统计学意义(均P<0.05)。随访36个月后,观察组复发率为3.70%(3/81),明显低于对照组的25.00%(10/40),观察组40岁以下妊娠率为56.52%(35/62),明显高于对照组的15.00%(3/20,P<0.05)。结论在子宫内膜异位症的手术治疗中,腹腔镜手术治疗具有操作时间短、出血量少、住院天数少、不良反应发生率低、复发率小、妊娠率高等优点,可以考虑作为子宫内膜异位症手术治疗的首选方案。

Evaluating the effect of laparoscopic endometriosis operation

Objective To investigate the treatment of endometriosis by laparoscopic surgery, and to evaluate and analyze the therapeutic effect of laparoscopic surgery on endometriosis. Methods A total of 81 cases of endometriosis treated by laparoscopic surgery in our hospital from January 2015 to June 2018 were included as the observation group and 40 cases of endometriosis treated by open surgery in our hospital during the same period were the control group. Retrospective analysis was made to compare two groups in operative time, intraoperative blood loss, postoperative hospitalization days, incidence of adverse reactions, such as postoperative pain of differences. Patients in the two groups were treated with subcutaneous injection of leuprorelin acetate microspheres for 4-6 months after surgery, followed up for 36 months, and the recurrence rates of endometriosis in the two groups were compared, as well as the pregnancy rates of women under 40 years old in the two groups. Results The operative time (56.23±8.59) min, intraoperative blood loss (65.42±6.54) mL, and days of hospitalization (5.23±1.24) days in the observation group were significantly different from those in the control group (100.45±10.03) min, (105.63±8.26) mL, and (7.24±2.56) days (all P<0.05). After 36 months of follow-up, the recurrence rate of 3.70% (3/81) in the observation group was significantly lower than 25.00% (10/40) in the control group, and the pregnancy rate of 56.52% (35/62) in the observation group was significantly higher than 15.00% (3/20) in the control group (P<0.05). Conclusion In the surgical treatment of endometriosis, laparoscopic surgery has the advantages of short operation time, less blood loss, fewer days in hospital, low incidence of adverse reactions, low recurrence rate and high pregnancy rate, which can be considered as the preferred surgical treatment for endometriosis.