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目的:研究探讨采用腹腔镜帮助诊断与治疗子宫内膜异位症的临床治疗效果,为医务工作者治疗子宫内膜异位症提供理论参考依据。方法:回顾性总结分析我院在2010年2月至2012年6月期间收治的进行腹腔镜或开腹检查后确诊为子宫内膜异位症65例患者的病例资料。65例患者按照治疗方法不同分为两组:观察组和对照组。观察组采用腹腔镜下手术治疗方法进行救治,包括:异位病灶电凝术以及粘连分离术、囊肿剔除术、输卵管造口术以及输卵管通液术、清除腹腔液、对所有内异症的组织标本进行病理学检查。对照组患者采用传统的手术方法进行治疗,分析二组患者的治疗效果和手术后情况,观察临床治疗效果。采用SPSS17.0统计分析软件对研究数据进行统计分析,评价腹腔镜在子宫内膜异位症的治疗中的应用。结果:观察组病人治疗后均痊愈,治愈率100%;对照组病人30例,治愈17例,治愈率为56.67%,两组病人治疗效果相比,差异具有统计学意义(P<0.05);治疗后,观察组患者临床症状消失,对照组部分病人临床症状消失或好转,两组相比差异具有统计学意义(P<0.05);观察组患者均未出现复发,对照组复发率为36.67%,两组患者复发率相比,差异具有统计学意义(P<0.05)。结论:采用腹腔镜下手术治疗子宫内膜异位症治疗效果显著,患者治疗时间短,并发症发生率低,复发率低,大大提高了患者的生存质量,值得广大临床医务工作者在治疗子宫内膜异位症中广泛推广使用。
Objective: To study the clinical effect of using laparoscopy to diagnose and treat endometriosis, and provide theoretical reference for medical workers to treat endometriosis. Methods: The data of 65 cases of endometriosis confirmed by laparoscopy or laparotomy in our hospital from February 2010 to June 2012 were analyzed retrospectively. 65 patients were divided into two groups according to different treatment methods: observation group and control group. The observation group was treated by laparoscopic surgery, including: ectopic coagulation and adhesion separation, cyst excision, tubal ostomy and tubal fluid, clear the peritoneal fluid, for all endometriosis tissue Specimens for pathological examination. Patients in the control group were treated by traditional surgical methods. The therapeutic effects and post-operative conditions of the two groups were analyzed and the clinical effects were observed. The statistical analysis software SPSS17.0 was used to analyze the data and evaluate the application of laparoscopy in the treatment of endometriosis. Results: The patients in the observation group were cured after treatment. The cure rate was 100%. In the control group, 30 cases were cured and 17 cases were cured. The cure rate was 56.67%. The difference was statistically significant (P <0.05). After treatment, the clinical symptoms disappeared in the observation group and clinical symptoms disappeared or improved in some patients in the control group. There was no significant difference between the two groups (P <0.05); The recurrence rate in the control group was 36.67% There was significant difference between the two groups in recurrence rate (P <0.05). Conclusion: The treatment of endometriosis by laparoscopic surgery has a significant effect, the treatment time is short, the incidence of complications is low, the recurrence rate is low, greatly improving the quality of life of patients, it is worth the majority of clinical medical workers in the treatment of the uterus Endometriosis widely used.