腹腔镜治疗卵巢内膜异位囊肿的手术方法及可行性分析

陈晓娟　王洁　杨永刚

【摘要】 目的：分析腹腔镜治疗卵巢内膜异位囊肿的手术方法及可行性。方法：选择2012年

3月-2014年12月本院收治的80例卵巢内膜异位囊肿患者作为研究对象，随机将其分为对照组和观察组，每组40例。对照组实施传统开腹手术，观察组实施腹腔镜手术，比较两组患者的临床治疗效果。结果：两组患者均顺利完成手术，均未有并发症出现。观察组患者的术中出血量明显少于对照组，肛门排气时间、术后抗感染时间及住院时间均明显短于对照组，差异均有统计学意义（P<0.05）。结论：应用腹腔镜治疗卵巢内膜异位囊肿效果较为理想，值得临床推广应用。

【关键词】 腹腔镜； 卵巢内膜异位囊肿； 手术方法

Analysis of Surgical Methods and Feasibility of Laparoscopic for the Treatment of Ovarian Endometriosis Cyst/CHEN Xiao-juan，WANG Jie，YANG Yong-gang.//Medical Innovation of China，2016，13（09）：136-138

【Abstract】 Objective：To analyze the surgical methods and feasibility of laparoscopic for the treatment of ovarian endometriosis cyst.Method：Eighty patients with ovarian endometriosis cyst admitted to our hospital from March 2012 to December 2014 were selected as the research objects，they were randomly divided into the control group and observation group，40 cases in each group.The control group was treated with traditional laparotomy，the observation group was treated with laparoscopic surgery.The clinical therapeutic effect between the two groups were compared.Result：The patients of two groups were successfully completed surgery，no complications.The intraoperative blood loss of observation group was significantly less than that of the control group，the anal exhaust time，postoperative anti infection time and hospitalization time of the observation group were significantly shorter than those of the control group，the differences were statistically significant（P<0.05）.Conclusion：The application of laparoscopic for the treatment of ovarian endometriosis cyst effect is more ideal，is worthy of clinical popularization and application.

【Key words】 Laparoscopic； Ovarian endometriosis cyst； Surgical method

First-authors address：The Peoples Hospital of Longhua District in Shenzhen City，Shenzhen 518109，China

doi：10.3969/j.issn.1674-4985.2016.09.039

本次研究选择2012年3月-2014年12月本院收治的80例卵巢内膜异位囊肿患者作为研究对象，其中观察组实施腹腔镜手术方式进行治疗后效果理想，现具体报告如下。

1 资料与方法

1.1 一般资料 选择2012年3月-2014年12月本院收治的80例卵巢内膜异位囊肿患者作为研究对象，所选80例研究对象均经病理学确诊为卵巢子宫内膜异位囊肿。将80例患者随机分为对照组和观察组，每组40例。对照组患者年龄20～54岁，平均（32.5±6.8）岁；其中已婚22例，未婚

18例；单侧卵巢子宫内膜异位囊肿33例，双侧卵巢子宫内膜异位囊肿7例；囊肿直径3.5～8.8 cm，平均（6.8±2.2）cm；观察组患者年龄19～54岁，平均（33.0±6.3）岁；其中已婚23例，未婚17例；单侧卵巢子宫内膜异位囊肿32例，双侧卵巢子宫内膜异位囊肿8例；囊肿直径3.6～8.9 cm，平均（6.7±2.5）cm。两组患者的年龄、婚育史、囊肿位置及囊肿直径等一般资料比较差异均无统计学意义（P>0.05），具有可比性。

1.2 方法 两组患者入院后在术前3 d均做好肠道准备，手术当日做好肠道清洁，对照组实施传统开腹手术治疗，观察组实施腹腔镜手术治疗。两……