Martin D C, Vander Zwagg R
Department of Obstetrics and Gynecology, Baptist Memorial Hospital, Memphis, TN.
J Reprod Med. 1987 Oct;32(10):753-8.
Laparoscopic excisional techniques, used for endometriosis on 319 of 495 patients during the years 1982-1986 at Baptist Memorial Hospital, Memphis, significantly increased the percentage of confirmation per patient. That percentage for all patients rose from 8 in 1982 to 97 in 1986. A significant increase occurred also in confirmation for patients with specimens submitted--from 62% in 1982 to 97% in 1986. At the same time, tissue confirmation also increased the documentation of the appearance of endometriosis. Pink, red, white, black and clear lesions were proven to be endometriosis. In addition, psammoma bodies, hemangiomas, old suture material, hemorrhages around old suture material, carcinoma and ectopic pregnancy, all of which had some characteristics of endometriosis, were shown not to be that disease. There were no complications related to the excisional techniques.
1982年至1986年期间,孟菲斯浸信会纪念医院对495例患者中的319例采用腹腔镜切除技术治疗子宫内膜异位症,显著提高了每位患者的确诊率。所有患者的确诊率从1982年的8%升至1986年的97%。送检标本患者的确诊率也显著提高,从1982年的62%升至1986年的97%。同时,组织确诊也增加了子宫内膜异位症外观的记录。粉色、红色、白色、黑色和清亮的病变均被证实为子宫内膜异位症。此外,砂粒体、血管瘤、陈旧缝线材料、陈旧缝线材料周围的出血、癌和异位妊娠,所有这些都有一些子宫内膜异位症的特征,但结果显示并非该病。未出现与切除技术相关的并发症。