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目的：对腹腔镜保守手术和根治性手术治疗重型子宫内膜异位症的临床效果进行对比。方法临床选取我院2013年4月-2014年4月实施治疗的88例重型子宫内膜异位症患者，分两组，对比临床疗效。结果在根治性手术和保守手术治疗患者中，其腹腔镜手术时间、排气时间、术中出血量以及术后均明显低于开腹手术患者，差异明显（P＜0.05)；腹腔镜保守手术时间、排气时间、术中出血量以及术后均明显低于开腹手术患者，差异明显（P＜0.05)。结论在重型子宫内膜异位症患者临床治疗中，实施腹腔镜保守手术效果优于根治性手术，值得推广应用。“,”Objective: To compare the clinical effect of laparoscopic conservative operation and radical operation in the treatment of severe endometriosis. Methods: the clinical selection in our hospital in 2013 April -2014 year in April the implementation of treatment of 88 cases of severe endometriosis patients, divided into two groups, to compare the clinical efficacy. Results: in radical operation and conservative treatment of patients in the laparoscopic operation, operation time, exhaust time, postoperative bleeding and postoperative were significantly lower than those in patients underwent abdominal operation, obvious difference (P < 0.05); laparoscopic conservative operation time, exhaust time, postoperative bleeding and postoperative were significantly lower than those in patients with abdominal operation obviously, the difference (P < 0.05). Conclusion: in the treatment of severe endometriosis, implementation is better than the effect of laparoscopic conservative operation radical operation, it is worthy of popularization and application.