摘要
目的 探讨腹腔镜在子宫内膜异位症患者诊断与治疗中的价值。方法 对 182例子宫内膜异位症患者施行了腹腔镜下异位病灶切除术 ,卵巢异位内膜囊肿剥除术及骶前神经切断术。结果 所有病例腹腔镜手术均获成功 ,随访 2～ 12个月 ,5 2例不孕症患者受孕 2 8例 ,妊娠率 5 3 8% ,95例痛经患者完全缓解 5 6例 ,部分缓解 32例 ,总有效率 92 6 %。结论 腹腔镜用于子宫内膜异位症的诊断和治疗是一种安全、有效、微创、适于临床广泛开展的手术方式。
Objective To explore the value of laparoscope in diag no sis and treatment of endometriosis.Methods 182 patients with endo metriosis were performed with resection of endometriotic lesions, ovarian endome triotic cysts enucleation and presacral neurectomy.Results All op erations were performed with laparoscope successfully.The patients were followed for 2 to 12 months ,of 28 among 58 cases with infertility conceived(53.8%).Of 5 6 among 95 cases with dysmenorrhea were achieved complete remission, 32 cases ac hieved incomplete remission, total improvement rate was 92.6%.Conclusion Laparoscopic diagnosis and treatment of endometriosis is a safe, micro- invasive and reliable method and can be performcd widely.
出处
《重庆医学》
CAS
CSCD
2002年第7期581-582,共2页
Chongqing medicine
