摘要
目的:探讨腹腔镜下卵巢子宫内膜异位囊肿保守手术的疗效。方法:2005年1月至2006年7月间采用腹腔镜保守手术治疗卵巢子宫内膜异位囊肿患者106例。患者平均年龄(32.5±6.4)岁,平均病程2.1年。合并不孕症21例,痛经54例,性交痛38例,慢性盆腔痛76例。无明显自觉症状仅以普查发现附件肿物者23例。结果:106例患者中行囊肿剔除术100例(94.3%),其中单侧卵巢内膜异位囊肿剔除61例,双侧卵巢内膜异位囊肿剔除39例(其中双侧囊肿剔除术34例,一侧囊肿剔除而另一侧附件切除5例),单侧附件切除6例。所有患者平均手术时间(38±11)分钟,平均出血量(35.6±12.5)mL。首次排气时间平均在术后(22.3±4.2)小时。平均住院天数(4.2±1.3)天。随访3～18个月,除21例不孕患者均于术后服用内美通或孕三烯酮2.5mg2次/周共3～6个月。106例患者中治疗性交痛总有效率92.2%,治疗慢性盆腔痛总有效率92.1%,治疗痛经总有效率90.7%。21例不孕患者中总妊娠率61.9%,7例(53.8%)半年内妊娠,6例(46.2%)1年内妊娠。术后复发9例(8.5%)。结论:对保留生育功能的卵巢子宫内膜异位囊肿患者,腹腔镜下保守手术是目前公认的安全、有效的手术方法。
Objective：To evaluate the curative effect of laparoscopic conservative surgery in the ovarian endometrial cysts.Methods：One-hundred and six patients with ovarian endometriotic cyst underwent laparoscopic conservative surgery from January 2005 to July 2007（average age：32.5 ＋/-6.4 years,average course：2.1 years）.Complications included infertilitas feminis（21）,menorrhalgia（54）,algopareunia（38）,chronic pelvis pain（76）,and nonsymptomatic（23）.Results：One-hundred patients underwent cysts rejected（unilateral（61）,bilateral（34）,unilateral cyst rejected and the other side adnexectomy（5））,and 6 patients underwent unilateral adnexectomy.The operation time was 38＋/-11min.The intraoperative blood loss was 35.6＋/-12.5 mL.The first aerofluxus time was 22.3＋/-4.2h after operation.The hospital day was 4.2＋/-1.3days.Patients were treated with gestrinone（Nemestran）2.5 mg twice per week lasting for 3-6 months after operation,except 21 patients had infertilitas feminis.The total effective rate of patients with algopareunia was 92.2%,with chronic pelvic pain was 92.1%,with menorrhalgia was 90.7%.Pregnancy rate of 21 patients with infertilitas feminis was 61.9%,7 cases（53.8%）got pregnancy in half year,and 6 cases（46.2%）in one year.nine cases（8.5%）relapsed after operation.Conclusion：laparoscopic conservative surgery was safe and effective for the patients with endometrial cysts of ovary.
出处
《华西医学》
CAS
2008年第1期32-33,共2页
West China Medical Journal
