摘要
目的:评价腹腔镜在子宫内膜异位症(EMT)相关性慢性盆腔痛诊断及治疗中的应用价值。方法:回顾性分析86例EMT相关性慢性盆腔痛患者行腹腔镜手术治疗的效果及疼痛程度与EMT分期及部位的关系。结果:腹腔镜手术治疗EMT相关性慢性盆腔痛疼痛缓解率90.7%。rAFS分期Ⅱ期患者Ⅰ度疼痛占71.4%,Ⅲ期和Ⅳ期患者Ⅱ度以上疼痛占95.5%。单纯卵巢巧克力囊肿和(或)盆腔腹膜EMT患者Ⅰ、Ⅱ度疼痛占88.4%,病灶侵犯宫骶韧带、直肠子宫陷凹和子宫后壁以及深部浸润的EMT患者Ⅱ、Ⅲ度疼痛占93.0%。结论:盆腔子宫内膜异位病灶侵犯宫骶韧带、直肠子宫陷凹、子宫后壁和深部浸润是引起EMT相关性慢性盆腔痛的主要原因,腹腔镜能明确诊断及治疗EMT相关性慢性盆腔痛,治疗效果满意。
Objective：To evaluate the diagnosis and treatment of endometriosis-related chronic pelvic pain（EMT-related CPP） by laparoscope.Methods：The relationship between site,stage of endometriosis（EMT） and the effect of laparoscope,as well as the pain degree in 86 cases of endometriosis-related chronic pelvic pain patients were retrospectively analyzed.Results：The remission rate of EMT-related CPP by laparoscopic surgery was 90.7%. Ⅰ degree of pain in Ⅱ stage by rAFS was 71.4%,more than Ⅱ degree of pain in Ⅲ and Ⅳ stage was 95.5%. Ⅰ and Ⅱ degree of pain in simple ovarian chocolate cysts and（or） pelvic peritoneum EMT pain was 88.4%. Ⅱ to Ⅲ degree of pain in EMT patients with ectopic lesions invasion of uterosacral ligaments,Douglas pouch,posterior wall of uterus and deep infiltrating was 93.0%.Conclusions：The main causes of EMT-related CPP are invasion of uetrosacral ligament,Douglas pouch,posterior wall of uterus and deep infiltrating in pelvic endometriosis. Laparoscopy can confirm the diagnosis and treat EMT-related CPP,the therapy is satisfactory.
出处
《实用妇产科杂志》
CAS
CSCD
北大核心
2011年第10期751-753,共3页
Journal of Practical Obstetrics and Gynecology
