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腹腔镜治疗卵巢内膜异位囊肿的临床分析

Clinical analysis of 67 cases with pecilo-ovarian cysts in endometriosis by laparoscopy and laparotomy
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摘要 目的探讨卵巢内膜异位囊肿腹腔镜手术治疗的临床疗效。方法回顾性分析我院2004年3月~2006年12月收治的67例卵巢内膜异位囊肿行腹腔镜及开腹手术治疗患者的临床资料。结果腹腔镜治疗组(n=46)平均手术时间、术中出血量、术后肠道功能恢复时间及术后住院时间均少于开腹组(n=21),差异有统计学意义(P<0.01)。两组术后均予以孕激素治疗减少复发率。结论腹腔镜治疗微创、康复快、疗效肯定,结合孕激素治疗能预防术后复发、减少痛经症状。 Objective To evaluate the feasibility and curative effect of operative laparoseopy for pecilo-ovarian cysts in endometriosis. Methods The clinical data of ovarian cyst in endometrioma by laparoscopy and laparotomy was compared retrospeeitvely. Results All operations were performed smoothly .Time of operation, bleeding, time of recover intestinal peristalsis and average days in hospital in the group of laparoseopy were less than those of laparotonry ( P 〈 0.01 ). There was more difference in the two groups. However, there was less difference for postoperative reurrence in two groups. Condusion The treatment of laparoscopic was a feasible and safe method resulting in fewer complications, invasion and was a quick recovery. The treatment of laparoscopic associating with pregestogen could to decrease the postoperative recurrence and relax the remarkable symptom.
作者 李涛 蔡春华
出处 《四川医学》 CAS 2008年第8期1043-1044,共2页 Sichuan Medical Journal
关键词 卵巢内膜异位囊肿 腹腔镜 剖腹手术 pecilo-ovarian cysts laparoscopy laparotomy
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