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目的研究分析腹腔镜手术治疗深部浸润型子宫内膜异位症的临床疗效及安全性。方法 84例深部浸润型子宫内膜异位症患者,随机分为对照组及观察组,各42例。对照组采用传统常规开腹手术方式治疗,观察组应用腹腔镜手术进行治疗。比较两组患者的手术时间、术中出血量、视觉模拟评分法(VAS)评分、临床疗效以及并发症发生情况。结果观察组手术时间短于对照组、术中出血量少于对照组、VAS评分低于对照组,差异均具有统计学意义(P<0.05)。观察组临床总有效率为90.48%,明显高于对照组的66.67%,差异具有统计学意义(P<0.05)。观察组患者术后并发症发生率为23.81%,明显低于对照组的45.24%,差异具有统计学意义(P<0.05)。结论胸腔镜手术治疗深部浸润型子宫内膜异位症具有手术时间短、创伤小、并发症少等优点,更加安全、有效,有利于患者的康复,值得应用推广。
Objective To study the clinical efficacy and safety of laparoscopic surgery in the treatment of deep infiltrative endometriosis. Methods Eighty-four patients with deep infiltrative endometriosis were randomly divided into control group and observation group, with 42 cases in each group. The control group was treated by conventional laparotomy and the observation group was treated by laparoscopic surgery. The operation time, intraoperative blood loss, visual analogue scale (VAS) score, clinical efficacy and complications were compared between the two groups. Results The operation time of the observation group was shorter than that of the control group. The blood loss in the observation group was less than that of the control group. The VAS score was lower than that of the control group. The difference was statistically significant (P <0.05). The total effective rate in observation group was 90.48%, which was significantly higher than that in control group (66.67%), the difference was statistically significant (P <0.05). The incidence of postoperative complications in the observation group was 23.81%, which was significantly lower than that in the control group (45.24%), the difference was statistically significant (P <0.05). Conclusions Thoracoscopic surgery for deep infiltrative endometriosis has the advantages of short operation time, less trauma and less complications. It is safer and more effective for the rehabilitation of patients and should be popularized.