微型腹腔镜检查与传统腹腔镜检查用于早期盆腔子宫内膜异位症的治疗：一项比较
Microlaparoscopy vs. conventional laparoscopy for the management of early-stage pelvic endometriosis: a comparison.
作者信息
Ikeda Fabio, Vanni Diana, Vasconcelos Alberto, Podgaec Sergio, Abrão Mauricio Simões
机构信息
Departments of Obstetrics and Gynecology and of Anesthesiology, University of São Paulo Medical School, São Paulo, Brazil.
出版信息
J Reprod Med. 2005 Oct;50(10):771-8.
OBJECTIVE
To evaluate the advantages and disadvantages of microlaparoscopy vs. conventional laparoscopy in the management of patients with early-stage pelvic endometriosis.
STUDY DESIGN
In this prospective, randomized study we evaluated 54 patients with a clinical diagnosis of stage I and II pelvic endometriosis according to the classification of the American Society for Reproductive Medicine, revised in 1996. The patients were divided into 3 groups and underwent, respectively, microlaparoscopy under sedation, microlaparoscopy under general anesthesia and conventional laparoscopy for definitive diagnosis and treatment of the disease.
RESULTS
Microlaparoscopy caused less pain, required lower consumption of analgesics and permitted a faster return to daily activities. Sedation decreased the incidence of nausea, vomiting and oropharyngeal pain. Microlaparoscopy under sedation led to a shorter hospital stay and reduced cost.
CONCLUSION
Microlaparoscopy under sedation is a viable alternative for the management of patients with suspected early-stage pelvic endometriosis.
目的
评估微型腹腔镜检查与传统腹腔镜检查在早期盆腔子宫内膜异位症患者治疗中的优缺点。
研究设计
在这项前瞻性随机研究中，我们根据1996年修订的美国生殖医学学会分类法，评估了54例临床诊断为I期和II期盆腔子宫内膜异位症的患者。患者被分为3组，分别接受镇静下微型腹腔镜检查、全身麻醉下微型腹腔镜检查和传统腹腔镜检查，以明确诊断和治疗该疾病。
结果
微型腹腔镜检查引起的疼痛较轻，所需镇痛药用量较少，且能更快恢复日常活动。镇静降低了恶心、呕吐和口咽疼痛的发生率。镇静下微型腹腔镜检查导致住院时间缩短和费用降低。
结论
镇静下微型腹腔镜检查是疑似早期盆腔子宫内膜异位症患者治疗的一种可行替代方法。
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