開腹與腹腔鏡治療卵巢子宮內膜異位囊腫合并不孕癥的臨床比較

羅芳　李寅　岳紅萍

[摘要] 目的 探討開腹與腹腔鏡治療卵巢子宮內膜異位囊腫合并不孕癥的治療效果。方法 隨機選取100例來該院2011年1月—2014年1月間診治的卵巢子宮內膜異位囊腫合并不孕癥患者，按照隨機分組法將其分為觀察組與對照組各50例，觀察組患者實施腹腔鏡治療，對照組患者進行開腹手術治療，比較觀察兩組病人的臨床治療效果。結果 觀察組患者的治療總有效率為94.00%，對照組患者的治療總有效率為72.00%，前者明顯后者，差異有統計學意義（P<0.05）；兩組在手術時間、術中出血量以及肛門排氣時間和住院時間方面對比，觀察組均少于對照組，差異有統計學意義（P<0.05）；在術后復發率、成功受孕率及患者滿意度方面，觀察組分別為2.00%、44.00%及98.00%，均優于對照組的12.00%、20.00%及80.00%，差異有統計學意義（P<0.05）。結論 卵巢子宮內膜異位囊腫合并不孕癥的患者，通過實施腹腔鏡手術治療可以減少手術與住院時間、肛門排氣時間及術中出血量，同時還能降低術后復發率，使受孕率提高，患者滿意度增加，可以在臨床進一步推廣使用。

[關鍵詞] 卵巢子宮內膜異位囊腫；腹腔鏡手術；開腹手術；不孕癥；成功受孕率

[中圖分類號] R711.7 [文獻標識碼] A [文章編號] 1674-0742（2015）04（c）-0001-02

[Abstract] Objective To study the effect of open and laparoscopic operation in the treatment of ovarian endometriosis cyst complicated with infertility. Methods 100 patients with ovarian endometriosis cyst complicated with infertility diagnosed and treated in our hospital from January 2011 to January 2014 were selected and randomly divided into the observation group and control group with 50 cases in each. The observation group were given laparoscopic operation for treatment， and the control group were given open operation. And the clinical treatment effect was observed and compared between the two groups. Results The overall response rate of the observation group was 94.00%， much higher than 72.00% of the control group with a statistically significant difference（P<0.05）； compared with the control group， the duration of operation， intraoperative blood loss and anal exhaust time and hospital stay of the observation group was less respectively， with statistically significant difference（P<0.05）； compared with the control group， the observation group had lower postoperative recurrence rate（2.00% versus 12.00%）， higher successful pregnancy rate（44.00% versus 20.00%） and higher patient satisfaction（98.00% versus 80.00%） with statistically significant differences（P<0.05）. Conclusion For patients with ovarian endometriosis cyst complicated with infertility， laparoscopic operation treatment can reduce the duration of operation and length of stay， anal exhaust time， intraoperative blood loss and postoperative recurrence rate as well as improve the rate of pregnancy， so it is worthy of further application and promotion in clinical practice.

[Key words] Ovarian endometriosis cyst； Laparoscopic operation； Open operation； Infertility； A successful pregnancy rate

子宮內膜異位癥是指在宮腔被覆粘膜之外的身體其他部位出現具有生長功能的子宮內膜組織，同時治療卵巢子宮內膜異位囊腫合并不孕癥的目的是將病灶清楚，并且保留生育功能。在臨床治療時，伴隨腹腔鏡在近幾年的廣泛應用，治療卵巢子宮內膜異位囊腫合并不孕癥的手術方式更具多元化，現隨機選取該院2011年1月—2014年1月間收治的100例患者為研究對象，對比分析傳統開腹手術與腹腔鏡手術的不同效果，現報道如下。