腹腔镜卵巢切除术治疗子宫切除术后盆腔疼痛的可行性及疗效
The feasibility and efficacy of laparoscopic oophorectomy in the management of pelvic pain after hysterectomy.
作者信息
Salim R, Gray G, Chappatte O A
机构信息
Department of Obstetrics and Gynaecology, Pembury Hospital, Kent, UK.
出版信息
J Obstet Gynaecol. 2007 Oct;27(7):718-20. doi: 10.1080/01443610701612698.
We aim to assess the feasibility and efficacy of laparoscopic oophorectomy in women with pelvic pain after hysterectomy in this retrospective review of 35 consecutive women presenting with pelvic pain who had had their ovaries conserved at the time of hysterectomy. Pain was attributed to the presence of these residual ovaries if there was an adnexal mass--or the pain improved following ovarian suppression with a GnRH analogue. The procedure was completed laparoscopically in 32 (91%) women. Overall, 27 (77%) women reported symptomatic relief following surgery. We conclude that laparoscopic oophorectomy is safe and provides symptomatic relief in this group of women.
在这项回顾性研究中，我们连续纳入了35例子宫切除术后出现盆腔疼痛且保留了卵巢的女性，旨在评估腹腔镜卵巢切除术治疗此类女性盆腔疼痛的可行性和疗效。如果存在附件包块，则将疼痛归因于这些残留卵巢；或者在使用促性腺激素释放激素（GnRH）类似物抑制卵巢功能后疼痛缓解，也将疼痛归因于残留卵巢。32例（91%）女性通过腹腔镜完成了手术。总体而言，27例（77%）女性术后报告症状缓解。我们得出结论，腹腔镜卵巢切除术在此类女性中是安全的，并能缓解症状。
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