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目的研究腹腔镜下子宫肌层内膜异位囊肿手术的可行性和临床效果。方法回顾分析2005年1月至2010年12月住院的术中诊断子宫肌层内膜异位囊肿16例,其中8例较年轻、有生育要求、囊肿单发位于浅肌层,行腹腔镜子宫内膜异位囊肿切除手术;另8例1例单发位置较深、年龄大于40岁,7例为多发,均行腹腔镜辅助经阴道子宫全切术。结果 16例手术腹腔镜下均完成顺利。结论子宫肌层内膜异位囊肿较少见,大部分患者均有痛经不孕等病史。采用腹腔镜的手术方式出血少,痛苦轻,恢复快,并发症少,是一种行之有效的治疗方法,尤其适合于单发外凸的年轻妇女。
Objective To study the feasibility and clinical effect of laparoscopic myometrial ectopic cyst surgery. Methods A retrospective analysis of January 2005 to December 2010 in-patient diagnosis of intrauterine myometrial endometriosis 16 cases, of which 8 were younger, have fertility requirements, single cysts in the superficial myometrium, laparoscopic uterus Endometriosis cyst excision; the other 8 cases of single case of deep hair, more than 40 years of age, 7 cases were multiple, were assisted by laparoscopic vaginal hysterectomy. Results 16 cases of laparoscopic surgery were successfully completed. Conclusions Uterine myometrium endometriosis cysts are rare, most patients have history of dysmenorrhea and infertility. Laparoscopic surgery less bleeding, pain, fast recovery, fewer complications, is an effective treatment, especially for young women with single bulge.