摘要
目的探究在子宫内膜异位症合并不孕症患者治疗中分别采用开腹手术与腹腔镜手术的临床效果。方法选取150例子宫内膜异位症合并不孕症患者,遵循随机数字表法分为对照组与研究组,每组75例。对照组患者采用开腹手术治疗,研究组患者采用腹腔镜手术治疗。比较两组患者围手术期各项指标、术后并发症发生情况及妊娠情况。结果研究组手术时间、术后肛门排气时间、下床活动时间及住院时间均短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05)。研究组术后并发症发生率为4.00%,明显低于对照组16.00%,差异有统计学意义(P<0.05)。随访1年,研究组术后总妊娠率为69.33%,高于对照组的49.33%,差异有统计学意义(P<0.05)。结论对于子宫内膜异位症合并不孕症患者的治疗,临床采取腹腔镜手术治疗效果较开腹手术更理想,患者创伤低、术后恢复快,且术后并发症更低,妊娠率则更高,值得临床推广与应用。
Objective To explore the clinical effect of laparotomy and laparotomy in the treatment of endometriosis patients with infertility.Methods 150 patients with endometriosis complicated with infertility were randomly divided into control group and study group,75 cases in each group.Patients in the control group were treated with open surgery,and patients in the study group were treated with laparoscopic surgery.The perioperative indicators,postoperative complications and pregnancy were compared between the two groups.Results The operation time,postoperative anal exhaust time,ambulation time and hospital stay in the study group were shorter than those in the control group,and the intraoperative blood loss was less than that in the control group,and the differences were statistically significant(P<0.05).The incidence of postoperative complications in the study group was 4.00%,which was significantly lower than that in the control group(16.00%),and the difference was statistically significant(P<0.05).After 1 year follow-up,the total pregnancy rate of the study group was 69.33%,which was higher than that of the control group(49.33%),and the difference was statistically significant(P<0.05).Conclusion For the treatment of endometriosis and infertility patients,the clinical treatment effect of laparoscopic surgery is more ideal than open abdominal surgery,with low trauma,faster postoperative recovery,lower postoperative complications and higher pregnancy rate,it is worthy of clinical promotion and application.
作者
许振华
Xu Zhenhua(Department of Obstetrics and Gynecology,Suzhou Wuzhong People’s Hospital,Suzhou 215000,China)
出处
《实用妇科内分泌电子杂志》
2021年第25期32-34,共3页
Electronic Journal of Practical Gynecological Endocrinology
关键词
子宫内膜异位症
不孕症
开腹手术
腹腔镜手术
并发症
妊娠情况
Endometriosis
Infertility
Open surgery
Laparoscopic surgery
Complications
Pregnancy conditions
