摘要
目的 评估电视腹腔镜治疗子宫内膜异位症及不孕症的效果。方法 对子宫内膜异位症及不孕症 5 9例行电视腹腔镜下粘连分离术 ;子宫内膜异位病灶内凝烧灼或单极电凝烧灼 ;囊肿剥除 ,部分剥除 ,切除术或开窗术 ;附件切除术。对不孕症者还行输卵管伞端粘连分离 ,扩张或造口术 ,经阴道用稀释美蓝行输卵管通液术。结果 术后随访 2 0例子宫内膜异位症(2～ 2 7个月 ) ,15例原有痛经 ,12例痛经消失或明显缓解 ,3例改善不明显。7例行囊肿剥除术者无子宫内膜异位囊肿复发。子宫内膜异位症合并不孕者中 ,17例中 7例妊娠。术后随访 2 0例不孕症 ,10例妊娠。本组无严重并发症 ,仅发生 2例术后肩痛 ,1例子宫内膜异位症致不孕症患者术后 1周性生活而致急性盆腔炎。 2例中转开腹。结论 腹腔镜下手术治疗子宫内膜异位症及不孕症等的疗效显著 ,具有其他治疗无法替代的优越性。
Objective To evaluate the efficiency of video laparoscopic surgery in endometriosis and infertility. [WT5,5”HZ]Methods Fifty nine women with endometriosis or infertility from our department were treated. Intervention(s): The video laparoscopic operations included adhesiolysis, coagulating small endometriosis implants, removal or partial removal endometriosis cyst or opening endometriosis cyst and coagulating cystic liner, oophorectomy. For infertility, adhesiolysis of distal fallopian tube, expending of fimbria or salpingostomy or fimbrioplasty were performed. Tubal patency was confirmed at laparoscopy by observation of the passage of methylene blue from vagiua through the fimbrial openings of the tubes. [WT5,5”HZ]Results 20 patients with endometriosis after operations were follow up (2 to 27 months), symptoms disappeared or significant improved in 12 of 15 patients who had dysmenorrhea previously and 3 patients no any change. There were no recurrences after operations in 7 patients with removed endometrial cysts. The seven of 17 patients in endometriosis and infertility had pregnancies after operations between the period from 1 to 7 month. Ten patients of 20 patients with infertility have pregnancies after operations. There was no severe complications. Only 2 patients had omalgia and one had acute pelvic infection one week after operation through coitus. Two patients received laparotomy. [WT5,5”HZ]Conclusion Video laparoscopic surgeries are suitable for treatment of endometriosis and infertility.
出处
《南京医科大学学报（自然科学版）》
CAS
CSCD
2000年第1期23-25,共3页
Journal of Nanjing Medical University(Natural Sciences)
