Daniell J F, Kurtz B R, Gurley L D
Women's Health Research and Education Foundation, HCA West Side Hospital, Nashville, Tennessee 37203.
Fertil Steril. 1991 Apr;55(4):692-5.
Forty-seven patients underwent laser laparoscopic management of endometriomas from 3 to 12 cm in diameter. Eighteen patients had infertility, 15 had pelvic pain, and 14 had both. The types of laser used were the carbon dioxide, argon, and potassium-titanyl-phosphate. There were no surgical complications. Twelve of 32 patients with infertility achieved pregnancy after the initial procedure. Subsequently, 2 patients conceived after a second-look procedure. Twenty-three of 30 patients with pelvic pain reported improvement or resolution. We confirm the efficacy of operative laparoscopy using lasers in the management of large ovarian endometriomas.
47例患者接受了直径3至12厘米的子宫内膜异位囊肿的激光腹腔镜治疗。18例患者存在不孕问题，15例有盆腔疼痛，14例两者兼有。使用的激光类型为二氧化碳激光、氩激光和磷酸钛钾激光。未发生手术并发症。32例不孕患者中有12例在初次手术后成功妊娠。随后，2例患者在二次探查术后受孕。30例盆腔疼痛患者中有23例报告症状改善或消失。我们证实了使用激光的手术腹腔镜在大型卵巢子宫内膜异位囊肿治疗中的有效性。
