Robbins M L
Ambulatory Surgery Center, Menomonee Falls, Wisconsin, USA.
J Am Assoc Gynecol Laparosc. 1999 May;6(2):199-203. doi: 10.1016/s1074-3804(99)80103-0.
Excision of endometriotic lesions allows the diagnosis to be confirmed and may provide long-term relief of symptoms. Laparoscopic excision is generally accepted for treatment of all stages of disease and can be accomplished safely with laser, electrosurgery, or ultrasonic energy. Ultrasonic energy uses the 5-mm hook blade for excision and 5-mm harmonic scalpel ball electrode for coagulation. Disease was excised by laparosonic coagulating shears (LCS) in 14 women. All patients had an uneventful postoperative course, with 13 (93%) remaining pain free 7 to 18 months postoperatively. The LCS is easy to use and allows endometriosis to be excised with an adequate margin of safety. (J Am Assoc Gynecol Laparosc 6(2):195-199, 1999)
切除子宫内膜异位病灶可确诊病情，并可能提供症状的长期缓解。腹腔镜切除普遍被认为适用于各期疾病的治疗，使用激光、电外科或超声能量可安全完成。超声能量使用5毫米钩形刀片进行切除，5毫米谐波手术刀球形电极进行凝血。14名女性患者通过腹腔镜超声凝固剪（LCS）切除病灶。所有患者术后过程顺利，13名（93%）患者术后7至18个月仍无疼痛。LCS易于使用，能在有足够安全 margins 的情况下切除子宫内膜异位症。（《美国妇科腹腔镜医师协会杂志》6(2):195 - 199, 1999） （注：margins 这里可能是指安全切缘，原文表述稍欠准确）
