The clinical observation of laparoscopic in the diagnosis and treatment of endometriosis

Objective To observe the diagnostic accuracy and clinical effect of laparoscopic in endometriosis,and to Provide the basis for laparoscopic diagnosis and treatment of endometriosis.Methods 83 cases of suspected endometriosis patients were randomly divided into two groups,42 cases of laparoscopic treatment group(group A),41 cases of conventional B super-clinic group(B),group A were given laparoscopic diagnosis and treatment,group B were given B-ultrasound and laparotomy,The clinic results and pathology results were counted,to calculate the sensitivity and specificity of laparoscopy and B ultrasound,observed postoperative pain,postoperative pregnancy,and postoperative recurrence.Results(1) the diagnosis sensitivity and specificity of group A were 92.8% and 90.6%,group A were significantly higher than that of B-ultrasound group(P 0.05);(2)A difference is not obvious between group A with the pathological diagnosis(P 0.05);(3)the postoperative pain relief and postoperative pregnancy rate of group A were higher than group B,the difference was statistically significant(P 0.01);(4) the recurrence rate for 1 to 3 years was significantly lower than group B,there wsa statistically significant difference(P 0.01).Conclusion The laparoscopic can examine and diagnosis the endometriosis,laparoscopic surgery combined with drug treatment can reduce or eliminate the lesions,to reduce or lift the postoperative pain and improve the success rate of pregnancy,to reduce and prevent recurrence