保留盆腔自主神经的腹腔镜手术治疗深部浸润型子宫内膜异位症效果观察

发布时间：2019-04-09 15:52

【摘要】：目的探讨保留盆腔自主神经的腹腔镜手术治疗深部浸润型子宫内膜异位症(DIE)的疗效。方法 16例DIE患者在腹腔镜下行保留盆腔自主神经的子宫内膜异位症病灶切除术,观察治疗效果。结果 16例患者中,行病灶切除10例,病灶切除加附件区巧克力囊肿剥除5例,病灶切除加直肠前壁修补1例。所有病例术后48~72h恢复肛门排气,术后2 d恢复自主排尿。住院时间6~13 d,期间无术后并发症发生,出院时均无便秘及排便、排尿时间延长等不适。随访6~30个月,痛经消失或明显减轻12例,性生活满意者11例,有阴道干燥感2例,无性交痛、肛门痛等其他不适,患者大小便功能均正常。结论保留盆腔自主神经的腹腔镜手术治疗DIE疗效确切,可有效减少术后膀胱功能、肠道功能及性功能异常的发生。
[Abstract]:Objective To study the effect of laparoscopic surgery on pelvic autonomic nerve in the treatment of deep-invasive endometriosis (DIE). Methods 16 cases of DIE were treated with laparoscopic descending of pelvic autonomic nerve in the patients with endometriosis, and the effect of treatment was observed. Results: Of the 16 patients,10 cases were removed,5 cases were removed by focus resection and accessory area, and 1 case was repaired by resection of the focus and the anterior wall of the rectum. The anal exhaust was recovered from 48 to 72 hours after the operation, and the spontaneous micturition was recovered after 2 days after operation. The hospital stay was 6-13 days, no complications occurred during the period, no constipation and defecation, prolonged urination, and the like. After 6 to 30 months of follow-up,12 cases of dysmenorrhea disappeared or obviously reduced,11 cases were satisfied with sexual life,2 cases with vaginal dryness, no pain in sex, and pain in the anus, and the function of the urine and urine of the patient was normal. Conclusion The effect of laparoscopic surgery on the retention of pelvic autonomic nerve is definite, and the function of the bladder, the function of the intestinal tract and the abnormality of sexual function can be effectively reduced.
【作者单位】：南京医科大学附属淮安第一医院;
【分类号】：R713

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