Clinical analysis of reoperation on 47 cases of recurrent pelvic endometriosis
10.3760/cma.j.issn.1008-6315.2012.06.040
- VernacularTitle:复发性盆腔子宫内膜异位症再次手术治疗47例临床分析
- Author:
Xiuqing HAN
;
Lijun LIU
;
Jingyao WANG
;
Guirong LI
;
Danli GAO
- Publication Type:Journal Article
- Keywords:
Pelvic endometriosis;
Recurrence;
Reoperation
- From:
Clinical Medicine of China
2012;28(6):666-668
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effects of reoperation on treatment of recurrent pelvic endometriosis(RPEM).Methods The clinical data of 47 cases of RPEM reoperation in our hospital from April 2005 to October 2010 was investigated,and the efficacy was analyzed compared with the first operation data.Results The cases of painful nodules was significantly different between reoperation group and the first operation group(28 vs 14,x2 =8.436,P =0.004 ).There was significant difference on laparoscopic surgery cases between reoperation group and the first operation group (25 vs 40,x2 =7.259,P =0.007 ).The operation time in reoperation group was significantly longer than that in the first operation group( [ 106.4 ±41.0] min vs [ 78.4 ± 26.4 ] min,t=3.995,P ＜ 0.01 ),and the amout of intraoperative hemorrhage in reoperation group was more than that in the first operation group ( [ 143.2 ± 118.3 ] ml vs [ 70.6 ± 68.1 ] ml,t =3.660,P ＜ 0.01 ).However,there was no significant difference on symptoms,cyst location and clinical stage between these two groups(P ＞0.05).Conclusion Due to the pelvic adhesion would be dense and extensive in RPEM,it should be carefully dissected during reoperation.At the same time,the operator should pay attention to the anatomical location and try to restore the normal anatomy of the pelvic organs and physiological state,and try to reduce postoperative adhesions.Complete removal of the lesions is the key to improve the treatment effect and prevent recurrence and reoperation.
