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二氧化碳激光腹腔镜检查用于患有子宫内膜异位症的不孕女性及患有附件粘连的女性。

CO2 laser laparoscopy in infertile women with endometriosis and women with adnexal adhesions.

作者信息

Donnez J

出版信息

Fertil Steril. 1987 Sep;48(3):390-4. doi: 10.1016/s0015-0282(16)59404-7.

DOI:10.1016/s0015-0282(16)59404-7
PMID:2957236
Abstract

One hundred twenty-four infertile women either with endometriosis (n = 70) or with adnexal adhesions (n = 54) were treated with the carbon dioxide laser used laparoscopically and were followed for 18 months. Removal of endometriotic implants, vaporization of endometrioma capsules, and lysis of adnexal adhesions was accomplished. Postoperative pregnancy rates were as follows: 57% for patients with endometriosis (mild, 62%; moderate, 52%; severe, 42%) and 57% for patients with adnexal adhesions. No serious complications requiring laparotomy were encountered. When performed, second-look laparoscopy confirmed efficient removal of endometriosis.

摘要

124名患有子宫内膜异位症(n = 70)或附件粘连(n = 54)的不孕女性接受了腹腔镜下二氧化碳激光治疗,并随访了18个月。完成了子宫内膜异位植入物的切除、子宫内膜瘤囊的汽化以及附件粘连的松解。术后妊娠率如下:子宫内膜异位症患者为57%(轻度,62%;中度,52%;重度,42%),附件粘连患者为57%。未遇到需要开腹手术的严重并发症。进行二次腹腔镜检查时,证实子宫内膜异位症已有效切除。

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