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目的观察腹腔镜手术治疗子宫内膜异位症合并不孕患者的临床疗效。方法选取西华县人民医院收治的子宫内膜异位症合并不孕妇女116例作为研究对象,按手术治疗方式不同将患者分为对照组和观察组,每组58例,其中对照组给予常规开腹手术治疗,观察组给予腹腔镜手术治疗,比较两组治疗后临床疗效。结果与对照组比较,观察组患者平均手术时间、住院时间、术后排气时间及术后尿管留置时间短,术中出血量少,差异均有统计学意义(P<0.05);观察组术后并发症低于对照组,再妊娠率高于对照组,差异均有统计学意义(P<0.05)。结论腹腔镜手术治疗子宫内膜异位症合并不孕患者具有创伤较小,术中出血量少,术后恢复快,住院时间短,并发症发生率低,再妊娠率高等优势,值得临床推广应用。
Objective To observe the clinical efficacy of laparoscopic surgery in patients with endometriosis complicated with infertility. Methods One hundred and sixty-six patients with endometriosis and infertility who were treated in Xihua County People’s Hospital were enrolled in this study. The patients were divided into control group and observation group according to different surgical methods. Each group was given routine routine Laparotomy was performed in the observation group and laparoscopic surgery was performed in the observation group. The clinical effects of the two groups were compared. Results Compared with the control group, the average operation time, hospitalization time, postoperative exhaust time and postoperative catheterization time were shorter in the observation group than those in the control group, with less bleeding during operation (P <0.05). The observation group Postoperative complications were lower than those in the control group, pregnancy rate was higher than the control group, the difference was statistically significant (P <0.05). Conclusions Laparoscopic surgery for infertility patients with endometriosis has the advantages of less trauma, less blood loss, quick recovery after surgery, shorter hospital stay, lower complication rate and higher pregnancy rate, which is worthy of clinical promotion application.