腹腔镜治疗子宫内膜异位症112例疗效分析

目的:探讨应用腹腔镜治疗子宫内膜异位症的疗效。方法:对112例腹腔镜诊断为子宫内膜异位症的患者,按1985年美国生育协会修订的内异症分期标准(r-AFS)进行分期,并在腹腔镜下行卵巢子宫内膜异位囊肿剥除、分离粘连、异位病灶电凝,Ⅲ、Ⅳ期患者术后加用孕三烯酮联合米非司酮治疗。结果:112例均在腹腔镜下手术,随访1~2年,近期有效率100%,复发8例,复发率7.14%(8/112),38例合并不孕者妊娠21例,妊娠率55.3%(21/38)。结论:腹腔镜手术创伤小,恢复快,可用于检查、治疗各期子宫内膜异位症。

Analysis on effect of laparoscopy on endometriosis of 112 cases

Objective:To explore the effect of laparoscopy on endometriosis.Methods:According to the Revised American Society for Reproductive Medicine Classification of endometriosis(r-AFS) in 1985,112 cases with endometriosis diagnosed by laparoscopy were included in the study,then underwent laparoscopic surgery,cases with Ⅲ/Ⅳ staging were administrated by gestrinone and mifepristone after surgery.Results:All the 112 cases underwent laparoscopic surgery.After following up 1~2 years,the recent effective rate was 100%.8 cases(7.14%) recrudesced;21 cases of 38 cases complicated with infertility had pregnancy,pregnancy rate was 55.3%.Conclusion:Laparoscopic surgery is less invasive and quick recovery,which can be used for examination and treatment of endometriosis in various stagings.