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目的评价微腹腔镜和常规腹腔镜手术治疗轻度子宫内膜异位症的疗效。方法前瞻性队列分析2004年8月至2006年9月首都医科大学附属北京朝阳医院妇产科住院实施保守性手术的子宫内膜异位症相关慢性盆腔痛患者43例,经腹腔镜诊断或病理证实为子宫内膜异位症,符合r-AFS分期为轻度的Ⅰ～Ⅱ期,分为微腹腔镜(20例)和常规腹腔镜(23例)两组行保守性手术。结果微腹腔镜组与常规腹腔镜组比较术后胃肠功能恢复时间短,术后住院天数少,住院费用少,差异有显著性意义。比较手术时间、术中出血量、手术费用、手术效果,两组差异无显著性意义。两组均无围手术期并发症发生。结论微腹腔镜手术治疗轻度子宫内膜异位症可以与常规腹腔镜一样安全和有效,并且在术后胃肠功能恢复、术后住院时间和总的住院费用等方面具有一定的优势。
Objective To evaluate the efficacy of micro-laparoscopy and conventional laparoscopic surgery in the treatment of mild endometriosis. Methods Prospective cohort analysis From August 2004 to September 2006, 43 patients with chronic pelvic pain associated with endometriosis underwent conservative surgery at the Department of Obstetrics and Gynecology, Beijing Chaoyang Hospital, Capital Medical University. Laparoscopic diagnosis or pathology Confirmed endometriosis, in line with r-AFS stage mild to Ⅰ ~ Ⅱ, divided into micro-laparoscopic (20 cases) and conventional laparoscopic (23 cases) two groups of conservative surgery. Results Compared with conventional laparoscopic group, the recovery time of gastrointestinal function in the group of micro-laparoscopic and postoperative laparoscopic surgery was shorter, the days of postoperative hospitalization were less, the cost of hospitalization was less, and the difference was significant. Comparison of operative time, intraoperative blood loss, surgical costs, surgical results, no significant difference between the two groups. No perioperative complications occurred in either group. Conclusion Micro-laparoscopic surgery for mild endometriosis can be as safe and effective as conventional laparoscopy, and has some advantages in postoperative gastrointestinal function recovery, postoperative hospital stay and total hospitalization costs.