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目的探讨腹腔镜手术在治疗子宫内膜异位症中的临床效果。方法回顾性分析本院近2年来对80例子宫内膜异位症患者(AFS分期-Ⅳ)采用腹腔镜治疗后的临床效果。结果 80例中76例成功实施腹腔镜手术,手术时间30~150min,行异位病灶电凝术32例,粘连松解术27例,输卵管造口术12例,卵巢子宫内膜异位囊肿剥除术65例,单侧附件剥除术36例,双侧附件剥除术13例,其中4例因盆腔广泛粘连操作困难,转开腹手术。随访观察得知,74例患者痛经症状减轻或消失,无术后并发症。结论腹腔镜手术治疗子宫内膜异位症不仅手术创伤小,而且安全有效,具有术后恢复快的特点。
Objective To investigate the clinical effect of laparoscopic surgery in the treatment of endometriosis. Methods A retrospective analysis of 80 cases of endometriosis in our hospital in recent 2 years (AFS staging-Ⅳ) after laparoscopic treatment of clinical effect. Results Of the 80 cases, 76 cases were successfully performed laparoscopic surgery, the operation time was 30 to 150 minutes, 32 cases of ectopic electrocoagulation, 27 cases of adhesions lysis, 12 cases of fallopian tube ostomy and ovarian endometriosis In addition to the operation of 65 cases, 36 cases of unilateral accessory stripping, bilateral accessory stripping in 13 cases, of which 4 cases due to pelvic extensive adhesions difficult to operate, open laparotomy. Follow-up observation showed that 74 cases of dysmenorrhea symptoms disappear or disappear, no postoperative complications. Conclusion Laparoscopic surgery for endometriosis is not only less traumatic surgery, but also safe and effective, with rapid recovery after surgery.