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子宫内膜异位症的氩激光治疗:92例连续病例回顾

Argon laser therapy of endometriosis: a review of 92 consecutive patients.

作者信息

Keye W R, Hansen L W, Astin M, Poulson A M

出版信息

Fertil Steril. 1987 Feb;47(2):208-12. doi: 10.1016/s0015-0282(16)49992-9.

DOI:10.1016/s0015-0282(16)49992-9
PMID:2949998
Abstract

The conception rate, relief of pain, and safety of argon laser photocoagulation of endometriosis were evaluated in 92 patients. All patients were treated at the time of diagnosis with the argon laser delivered through a flexible quartz fiber passed through the operating channel of a standard and unmodified laparoscope. The uncorrected pregnancy rate was 34% (19 of 56), with 64% of the pregnancies occurring within 6 months of therapy. The conception rate was slightly greater in women with infertility of 24 months or less and in women without other fertility factors. Ninety-two percent of 50 women with pelvic pain reported a reduction of their pain after treatment. The argon laser is an effective, simple, and safe alternative for the treatment of mild or moderate endometriosis.

摘要

对92例子宫内膜异位症患者进行了氩激光光凝治疗的受孕率、疼痛缓解情况及安全性评估。所有患者在诊断时接受治疗,通过一根柔性石英纤维传递氩激光,该纤维穿过标准未改良腹腔镜的操作通道。未校正的妊娠率为34%(56例中的19例),64%的妊娠发生在治疗后6个月内。不孕24个月及以内且无其他生育因素的女性受孕率略高。50例盆腔疼痛女性中有92%报告治疗后疼痛减轻。氩激光是治疗轻度或中度子宫内膜异位症的一种有效、简单且安全的方法。

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1
Argon laser therapy of endometriosis: a review of 92 consecutive patients.子宫内膜异位症的氩激光治疗:92例连续病例回顾
Fertil Steril. 1987 Feb;47(2):208-12. doi: 10.1016/s0015-0282(16)49992-9.
2
Argon laser laparoscopy for treatment of pelvic endometriosis associated with infertility and pelvic pain.氩激光腹腔镜检查术治疗与不孕及盆腔疼痛相关的盆腔子宫内膜异位症。
J Gynecol Surg. 1991 Spring;7(1):27-32. doi: 10.1089/gyn.1991.7.27.
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Photocoagulation of endometriosis by the argon laser through the laparoscope.通过腹腔镜用氩激光对子宫内膜异位症进行光凝治疗。
Obstet Gynecol. 1983 Sep;62(3):383-6. doi: 10.1097/00006250-198309000-00023.
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The treatment of endometriosis at laparoscopy for infertility.
Am J Obstet Gynecol. 1980 Sep 15;138(2):128-32. doi: 10.1016/0002-9378(80)90022-8.
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Surgical management of endometriosis with the carbon dioxide laser.二氧化碳激光治疗子宫内膜异位症的手术管理
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CO2 laser laparoscopy for the treatment of endometriosis associated with infertility.二氧化碳激光腹腔镜手术治疗与不孕相关的子宫内膜异位症。
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引用本文的文献

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Operative laparoscopy.手术腹腔镜检查
West J Med. 1988 Mar;148(3):325.