Foulot H, Dubuisson J B
Service de gynécologie-obstétrique du Pr Henrion, clinique universitaire Port-Royal, Paris.
Rev Prat. 1990 Apr 21;40(12):1100-2.
The surgical treatment of endometriosis, which used to be performed by laparotomy, is now in most cases performed by coelioscopy. The purpose of surgery is to destroy or remove as much as possible of the endometriotic lesions and to treat their sequelae, usually adhesions. In the majority of patients, the coelioscopic treatment can be carried out at the same as the initial diagnostic coelioscopy, the stay in hospital not exceeding 48 hours. The pregnancy rate obtained is similar to that reported with laparotomy, but the operator must have a long experience of operative coelioscopy.
子宫内膜异位症的外科治疗过去常通过剖腹手术进行,现在大多数情况下则通过腹腔镜检查来实施。手术目的是尽可能多地破坏或切除子宫内膜异位病变,并治疗其后遗症,通常是粘连。在大多数患者中,腹腔镜治疗可与最初的诊断性腹腔镜检查同时进行,住院时间不超过48小时。获得的妊娠率与剖腹手术报告的相似,但手术医生必须有长期的腹腔镜手术经验。