机器人辅助腹腔镜手术治疗复杂深部浸润型子宫内膜异位症的临床疗效及安全性分析

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中图分类号 R711.71 文献标识码A 文章编号 2096-7721（2025）12-2114-06

AbstractOetiigatelalacetydcaldtasofoisedlaaico complexdeplratigdomerosisingteewel，dder.：rospetiealsste on57patientswithcomplexDIEwhoweretreatedattheFirstAfilatedHospitalofAirForceMedicalUniversityfromMay2O7toMay 2022.The patients were divided into the robotic group （n=26） and the laparoscopic group （n=31 ）based on the surgical approach. All patientsundentadicallsioectioeriopativeicatorssiosetiouomsecoeyfganfuctioddce of complicationswerecomparedbetween thetwogroups.Results：Noconversion tolaparotomyoccurredineithergroup.Compared withthelaparosopicgoueoticopowdiiantlsitaoatiloods，horosopeatiegfoial stay，and a lower rate of intraoperative injury to key organs （P<0.05） . There was no statistically significant difference in total operative timebetweenthetwogroups（P>O5）.Furtheranalysisrevealedtatoperativetimesforboththebowelandtheuretersubgroupswere significantly shorter in the robotic group compared to the corresponding subgroups in the laparoscopic group （ P <0.05）. At 6 months after surgery，therboticoupsoedgeratesofelieffrouraryndintestialsptosandlowrlicalecueeatetnthe laparoscopic group（ P <0.05）.No imaging-confirmed recurrnce was observed in either group.No severe complications occurrd in the robotic group，hileocaseofrtalanastomoticlakageouedinthlaparosopic group.Teoverallomplicatioatesbtwenthe two groups were not statistically different （P>0.05） .Conclusion：Robot-assisted laparoscopic surgery for complex DIE can reduce the risk ofintraoperatieanijuryeasebloodlossproveteencyofplexaneuvesndfaciliatetopatiefuctiol recovery.It can be considered a preferred minimally invasive treatment option for such conditions.

KeyWordsRobot-assistedLaparoscopic Surgery;Deep Infiltrating Endometriosis; Clinical Efcacy;Safety

深部浸润型子宫内膜异位症（deep infiltratingendometriosis，DIE）是子宫内膜异位症的一种严重亚型[，其病灶浸润腹膜深度超过 5mm ，常累及宫骶韧带、直肠阴道隔、输尿管、肠道及膀胱等多个器官[2-4，是引起慢性盆腔痛、深部性交痛及不孕的主要原因，且手术治疗难度极大[5-I]。（剩余10331字）