腹腔镜手术治疗子宫内膜异位症合并不孕患者的效果分析

发布时间：2018-05-03 19:57

本文选题：腹腔镜手术 + 子宫内膜异位症　；参考：《实用妇科内分泌杂志(电子版)》2016年12期

【摘要】：目的分析腹腔镜手术治疗子宫内膜异位症合并不孕患者的效果。方法对从2014年1月至2015年6月在我院就诊的患者86例随机的分为对照组和实验组,各43例;对照组患者利用常规的手术方法对盆腔粘连进行分离,而实验组患者采用腹腔镜手术;对比分析两组患者的围术期指标、并发症发生率和妊娠率进行统计分析。结果实验组手术时间、留置导尿管时间、术中出血量和下床活动时间分别为(40.2±7.8)min、(13.1±2.5)h、(104.7±43.2)ml和(17.4±4.4)h;实验组上述四项指标均显著的少于对照组(P0.05)。对照组并发症发生率为11.63%;而实验组并发症发生率为2.33%;差异有统计学意义(P0.05)。实验组半年的妊娠率为25.58%,1年妊娠率为53.49%,复发率为4.65%;实验组在半年和1年妊娠率均优于对照组患者差异有统计学意义(P0.05)。结论腹腔镜手术治疗子宫内膜异位症合并不孕患者围术期相关指标较优、并发症发生率较低、妊娠率较高,在临床中具有推广和应用的价值。
[Abstract]:Objective to analyze the effect of laparoscopic surgery on endometriosis with infertility. Methods 86 patients in our hospital from January 2014 to June 2015 were randomly divided into two groups: control group (n = 43) and experimental group (n = 43). The patients in the experimental group were treated with laparoscopic surgery, and the perioperative index, complication rate and pregnancy rate of the two groups were compared and analyzed. Results the operative time, the time of indwelling catheter, the amount of intraoperative bleeding and the time of moving out of bed in the experimental group were 40.2 卤7.8 minutes and 104.7 卤43.2)ml and 17.4 卤4.4 hours, respectively, and the above four indexes in the experimental group were significantly less than those in the control group (P 0.05). The incidence of complications in the control group was 11.63, while that in the experimental group was 2.33. The difference was statistically significant (P 0.05). The pregnancy rate of the experimental group was 25.58 in half a year, the pregnancy rate in one year was 53.49, and the recurrence rate was 4.65.The pregnancy rate in the experimental group was significantly better than that in the control group in half a year and one year (P 0.05). Conclusion Laparoscopic surgery in the treatment of endometriosis complicated with infertility has better perioperative parameters, lower incidence of complications and higher pregnancy rate, which has the value of popularization and application in clinical practice.
【作者单位】：山东省德州市德城区妇幼保健院;
【分类号】：R713.7

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