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目的分析腹腔镜在妇科盆腔疼痛手术中的应用效果,探寻最佳的盆腔疼痛诊治方法。方法选取2014年1月~2015年3月在我院应用腹腔镜诊治的妇科盆腔疼痛手术患者46例,对其临床资料进行回顾性分析。结果本组42例患者证实解剖改变和病理变化,其中盆腔粘连6例,治疗有效率83.3%(5/6);盆腔炎10例,治疗有效率90%(9/10);子宫内膜异位症16例,治疗有效率87.5%(14/16);卵巢囊肿4例,治疗有效率100%(4/4);盆腔静脉淤血症3例,治疗有效率100%(3/3);节育环异位2例,治疗有效率100%(2/2);盆腔结核1例,治疗有效率100%(1/1)。结论腹腔镜应用在妇科盆腔疼痛手术中,不但具有较高的诊断率,并且通过腹腔镜手术治疗,也具有较高的治愈率,具有较好的应用意义。
Objective To analyze the application effect of laparoscopy in gynecological pelvic pain surgery and explore the best method of pelvic pain diagnosis and treatment. Methods 46 patients with gynecologic pelvic pain who underwent laparoscopy in our hospital from January 2014 to March 2015 were retrospectively analyzed. Results 42 cases of this group of patients confirmed anatomic changes and pathological changes, including pelvic adhesions in 6 cases, the effective rate was 83.3% (5/6); pelvic inflammatory disease in 10 cases, the treatment efficiency of 90% (9/10); endometrial 16 cases were diagnosed as disease, the effective rate of treatment was 87.5% (14/16); 4 cases of ovarian cyst were treated with 100% (4/4) effective rate of treatment; pelvic venous congestion in 3 cases, the treatment efficiency was 100% (3/3); Ectopic pregnancy in 2 cases, the treatment efficiency of 100% (2/2); pelvic tuberculosis in 1 case, the treatment of 100% (1/1). Conclusion Laparoscopic surgery in gynecological pelvic pain surgery, not only has a high diagnostic rate, and laparoscopic surgery, but also has a high cure rate, has good practical significance.