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目的探讨腹腔镜手术治疗深部浸润型子宫内膜异位症(deep infiltrating endometriosis,DIE)的临床疗效与安全性。方法选择重庆市云阳县人民医院2011年7月至2013年7月期间收治的82例DIE患者的临床资料,其中采用腹腔镜手术治疗的41例患者纳入观察组,采用传统开腹手术治疗的41例患者纳入对照组,对两组术后临床疗效及安全性进行对比分析。结果观察组有效率和并发症发生率分别为95.12%(39/41)和14.63%(6/41),明显优于对照组的有效率75.61%(31/41)和并发症发生率46.34%(19/41)(P<0.05);观察组临床症状缓解情况优于对照组(P<0.05)。结论两种手术治疗方法对DIE均有较好的治疗效果,但腹腔镜手术的临床疗效更加显著,且并发症较少。
Objective To investigate the clinical efficacy and safety of laparoscopic surgery for deep infiltrating endometriosis (DIE). Methods Clinical data of 82 patients with DIE treated in Yunyang County People’s Hospital of Chongqing from July 2011 to July 2013 were selected. Among them, 41 patients undergoing laparoscopic surgery were enrolled in the observation group and were treated with traditional laparotomy 41 patients were included in the control group, the clinical efficacy and safety of the two groups were compared. Results The effective rate and complication rate in the observation group were 95.12% (39/41) and 14.63% (6/41) respectively, significantly higher than those in the control group (75.61%, 31/41) and complication rate (46.34% (19/41) (P <0.05). The alleviation of clinical symptoms in the observation group was better than that in the control group (P <0.05). Conclusion Both methods of operation have a good therapeutic effect on DIE, but the clinical effect of laparoscopic surgery is more significant and the complication less.