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目的:分析腹腔镜手术治疗在子宫内膜异位症中的治疗价值,为临床选择手术方式的提供建议。方法:随机选取我院妇科在2012年4月～2013年5月期间收治的160例子宫内膜异位症患者作为观察对象,根据手术方案的不同,随机分为观察组81例(腹腔镜手术)和对照组79例(开腹手术),分析2组患者的手术情况及术后复发情况。结果:观察组手术时间56.3±7.4分钟,与对照组比较,无显著差异(P>0.05);观察组术中出血量62.5±13.6ml,术后排气时间20.9±7.36小时,术后住院时间4.5±1.5天,1年内妊娠率64.2%,与对照组计较,与对照组比较,存在显著差异(P<0.05);结论:腹腔镜手术治疗子宫内膜异位症创伤小、出血少、恢复快的优点、术后妊娠率高,值得临床进一步推广。
Objective: To analyze the value of laparoscopic surgery in the treatment of endometriosis and to provide suggestions for the clinical choice of surgical methods. Methods: A total of 160 cases of endometriosis admitted to our hospital from April 2012 to May 2013 were randomly selected as observation subjects. According to the different surgical plans, they were randomly divided into observation group (81 cases) (laparoscopic operation ) And control group 79 cases (laparotomy), analysis of the two groups of patients with surgery and postoperative recurrence. Results: The operation time of the observation group was 56.3 ± 7.4 minutes, no significant difference compared with the control group (P> 0.05); the bleeding volume in the observation group was 62.5 ± 13.6ml, the postoperative exhaust time was 20.9 ± 7.36 hours, the postoperative hospital stay 4.5 ± 1.5 days, pregnancy rate 64.2% within 1 year, compared with the control group, there was a significant difference (P <0.05) compared with the control group; Conclusion: Laparoscopic surgery for endometriosis less trauma, less bleeding, recovery Fast advantages, high postoperative pregnancy rate, it is worth further clinical promotion.