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目的对比分析腹腔镜手术和传统开腹手术治疗子宫内膜异位症的临床疗效。方法 92例子宫内膜异位症患者,根据患者意愿分为试验组(51例)与对照组(41例)。试验组采取腹腔镜手术治疗,对照组采取开腹手术治疗。比较两组手术时间、术中出血量、肛门排气时间、术后住院时间及并发症发生情况。结果试验组患者平均手术时间为(45.8±7.5)min、术中出血量为(80.5±10.4)ml、肛门排气时间为(22.6±5.7)h、术后住院时间为(3.5±1.0)d,均优于对照组的(92.8±10.5)min、(186.3±32.7)ml、(36.4±8.1)h、(7.5±2.0)d,差异均具有统计学意义(P<0.05)。试验组术后并发症发生率为5.9%,低于对照组的19.5%,差异具有统计学意义(P<0.05)。结论与传统开腹手术治疗子宫内膜异位症比较,腹腔镜手术能提高患者手术效率、缩短手术时间,更加安全可靠。
Objective To compare the clinical efficacy of laparoscopic surgery and traditional laparotomy in the treatment of endometriosis. Methods Ninety-two patients with endometriosis were divided into experimental group (n = 51) and control group (n = 41) according to their wishes. The experimental group was treated by laparoscopy and the control group was treated by laparotomy. The operation time, intraoperative blood loss, anal exhaust time, postoperative hospital stay and complications were compared between the two groups. Results The mean operative time was (45.8 ± 7.5) min in the experimental group, the bleeding volume was (80.5 ± 10.4) ml, the time of anal exhaust was (22.6 ± 5.7) h and the length of postoperative hospital stay was (3.5 ± 1.0) d (92.8 ± 10.5) min, (186.3 ± 32.7) ml, (36.4 ± 8.1) h, and (7.5 ± 2.0) d respectively in the control group. The difference was statistically significant (P <0.05). The incidence of postoperative complications in the experimental group was 5.9%, which was lower than that in the control group (19.5%) (P <0.05). Conclusion Compared with the traditional laparoscopic surgery for endometriosis, laparoscopic surgery can improve the operation efficiency of patients, shorten the operation time, more safe and reliable.