摘要
目的:探讨腹腔镜下骶骨韧带切除术联合病灶电灼术治疗子宫内膜异位症痛经的疗效。方法:对21例子宫内膜异位症痛经患者行腹腔镜下骶骨韧带切除术联合病灶电灼术治疗,对合并子宫内膜异位囊肿和子宫腺肌瘤患者同时行囊肿剥除术和子宫腺肌瘤电消融术,盆腔局部病灶予以电灼,术后观察痛经程度。结果:16例(76.2%)痛经完全消失,4例(19.0%)痛经明显缓解,1例(4.8%)痛经部分缓解。术后疼痛评分、分级均明显降低(P<0.01)。结论:腹腔镜下骶骨韧带切除术联合病灶电灼术是治疗子宫内膜异位症痛经的新方法,治疗痛经效果显著。
Objective： To assess the clinical efficacy of laparoscopic presacral neurectomy and vaporization of endometriosis for the treatment of endometriosis dysmenorrheal. Methods： Laparoscopic presacral neurectomy and vaporization of endometriosis were performed in 21 patients with endometriosis dysmenorrheal. Enucleation and electromyolysis were performed at the same time in patients with chocolate cyst of ovary and adenomyoma. Vaporization of endometriosis was performed in remnants of focus. Symptoms of all patients were investigated after treatment. Results： Complete disappearance of dysmenorrhea was found in 16 patients （76. 2% ） significantly, alleviated in 4 patients （19%）, partially alleviated in 1 patient （4. 8% ） . Pain score and classification were decreased significantly （P 〈 0. 01 ） . Conclusion： Laparoscopic presacral neurectomy and vaporization of endometriosis are effective and safe methods for the treatment of endometriosis dysmenorrheal.
出处
《中国妇幼保健》
CAS
北大核心
2007年第11期1555-1557,共3页
Maternal and Child Health Care of China
关键词
腹腔镜
骶骨韧带切除术
病灶电灼术
子宫内膜异位症痛经
Laparoscope
Presacral neurectomy
Vaporization Of endometriosis
Endometriosis dysmenorrhea
