[1]惠宁,陈于.腹腔镜与开腹手术治疗卵巢子宫内膜异位囊肿的疗效比较[J].中国微创外科杂志,2005,05(12):1038-1039.
　HuiNing,Chen Yu..Laparoscopy versus laparotomy for the treatment of ovarian endometriosis cysts[J].Chinese Journal of Minimally Invasive Surgery,2005,05(12):1038-1039.
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腹腔镜与开腹手术治疗卵巢子宫内膜异位囊肿的疗效比较()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
05
期数:
2005年12期
页码:
1038-1039
栏目:
出版日期:
2005-12-30

文章信息/Info

Title:
Laparoscopy versus laparotomy for the treatment of ovarian endometriosis cysts
作者:
惠宁; 陈于
上海长海医院妇产科,上海,200433
Author(s):
HuiNing;  Chen Yu.
Department ofObstetrics & Gynecology, ShanghaiChanghaiHospital ofSecondMilitaryMedicalUniversity, Shanghai200433, China
关键词:
卵巢子宫内膜异位症; 腹腔镜手术; 开腹手术
Keywords:
Ovarian endometriosis cyst; 　Laparoscopy; 　Laparotomy
分类号:
R713.6
文献标志码:
A
摘要:
目的比较腹腔镜手术与开腹手术治疗卵巢子宫内膜异位囊肿的效果,探讨腹腔镜手术治疗卵巢子宫内膜异位囊肿的价值.方法回顾性对比分析随访4个月～5年,平均41.3月的92例腹腔镜手术(腹腔镜组)及52例开腹手术(开腹组)的临床资料.结果腹腔镜组手术时间(69±41.8)min,术后住院(3.5±1.0)d,术中出血量(55±12.0)ml;开腹组手术时间(137±54.3)min,术后住院时间(8.7±3.5)d,术中出血量(178±105.9)ml,两组比较差异均有显著性(t=-8.402,-11.048,-13.350;P=0.000).术后复发率腹腔镜组19.6%(18/92),开腹组19.2%(10/52),两组差异无显著性(x2=0.002,P=0.961).术后痛经改善率腹腔镜组66.0%(35/53),开腹组52.8%(19/36),两组比较差异无显著性(x2=1.580,P=0.209).结论腹腔镜治疗卵巢子宫内膜异位囊肿的效果与开腹手术基本相同,但腹腔镜具有微创手术的优点,可作为治疗卵巢子宫内膜异位囊肿的首选方法.
Abstract:
Objective　To compare effects between laparoscopy and laparotomy for the treamentofovarian endometriosis cysts and to investigate the value of laparoscopy in the treatment of ovarian endometriosis cysts.　M ethods　We retrospectively analyzed 144 cases of ovarian endometriosis cysts, 92 of which underwent laparoscopic operations (Laparoscopic Group) and 52 of which received open operations (Open Group). All the cases were followed for 4 months ~ 5 years.　Results　The operation time, postoperative hospital stay, and intraoperative blood loss were 69±41. 8 min, 3. 5±1. 0 d, and 55±12. 0 ml in the Laparoscopic Group, respectively, and 137±54. 3 min, 8. 7±3. 5 d, and 178±105. 9 ml in the Open Group, respectively, with significant differences between the two groups (t=-8·402, -11·048, and -13·350;P=0. 000). Therewas no significantdifference in the rate of abdominal pain relief between the Laparoscopic Group (66. 0%, 35/53) and the Open Group (52. 8%, 19/36) (χ2=1·580, P=0. 209). The recurrent ratewas 19. 6% (18/92) in the Laparoscopic Group and 19. 2% (10/52) in the Open Group, without significantdifference between the two groups (χ2=0·002,P=0·961).　Conclusions　Laparoscopic surgery gives similar efficacy to open surgery in the treatment of ovarian endometriosis cysts. Laparoscopic surgery can be used as the first choice in treating ovarian endometriosis cysts because of itsminimally invasive characteristics.

参考文献/References:

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更新日期/Last Update: 2014-04-29