【作者】 徐延华； 薛芳； 吴光明；

【Author】 XU Yan - hua , XUE Fang, WU Guang - ming ( Jinan Women and Children Hospital, Jinan,Shandong 250001 ,P. R. China)

【机构】 山东省济南市妇幼保健院；

【摘要】 目的通过对腹腔镜剥除手术和阴道超声指示下穿刺注入无水乙醇固定法治疗卵巢巧克力囊肿的预后观察,探讨腹腔镜在临床应用中的价值。方法选择同期在该院行无水乙醇固定法治疗卵巢子宫内膜异位囊肿患者27例,腹腔镜剥除手术治疗患者33例,分别观察两组囊肿复发、症状缓解及妊娠情况,并进行比较。结果单房囊肿患者两组复发率无差异(P>0.05),多房囊肿患者,腹腔镜组复发率低于乙醇组,且复发时间晚,两组差异明显(P<0.01);腹腔镜组术后痛经症状缓解优于乙醇组;对合并不孕者,腹腔镜组受孕率明显高于乙醇组。结论腹腔镜是子宫内膜异位囊肿诊断和治疗的首选手段,尤其是合并不孕者的最佳治疗方案。更多还原

【Abstract】 [Objective] To compare efficacy of laparoscopic surgery and ethanol sclerotherapy for ovarian endo-metriosis,and to evaluate laparoscopy in ovarian endometriosis therapy. [Methods] 27 patients with ovarian endome-triosis were treated by ethanol and 33 patients were operated by laparoscopy cystectomy in the same period,who were followed up postoperatively for 12-36 months. The disease recurrent rate, symptoms remission and pregnancy rate were observed respectively. [Results] The recurrent rate of single antrum cyst was similar between the two groups ( P >0.05 ) , then there was significant difference in the many antrum cysts (P<0. 01) . Laparoscopy group excelled to ethanol group in the symptoms remission and pregnancy rate after operation. [Conclusion] Laparoscopic diagnosis and treatment of endometriosis is the first measure, especially it is the best scheme for the patients with infertility.更多还原