Sutton C J
Department of Gynaecology, Royal Surrey County Hospital, Guildford, UK.
Br J Clin Pract Suppl. 1991 Autumn;72:33-42; discussion 43-4.
In endometriosis, radical surgery to remove both ovaries appears to be the only truly lasting cure. However, to retain or improve fertility potential, conservative surgery to remove all visible endometriotic deposits is often employed. Traditional conservative surgery using laparotomy is time-consuming and involves large, painful, slow-healing incisions, but, it is argued, modern developments in minimally invasive endoscopic surgery using advanced laparoscopy with lasers offer significantly reduced operation time, discomfort and convalescence. These surgical advances are reviewed. Although their effectiveness remains to be confirmed in controlled clinical trials, they appear to produce good results and are safe in experienced hands.
在子宫内膜异位症中，切除双侧卵巢的根治性手术似乎是唯一真正持久的治愈方法。然而，为了保留或提高生育潜力，通常采用保守手术来切除所有可见的子宫内膜异位病灶。传统的开腹保守手术耗时较长，且切口大、疼痛、愈合缓慢，但有人认为，使用先进腹腔镜和激光的微创内镜手术的现代发展显著缩短了手术时间、减轻了不适并缩短了康复期。本文对这些手术进展进行了综述。尽管它们的有效性仍有待在对照临床试验中得到证实，但在经验丰富的医生手中，它们似乎能产生良好的效果且是安全的。
