Martin D C
J Reprod Med. 1986 Dec;31(12):1089-94.
Medical, surgical and combined therapy have been used in the treatment of infertility associated with endometriosis. The CO2 laser offers the advantage of precise excisional surgery at the initial laparoscopy and potentially avoids further surgery and medication. In 115 women in whom initial or follow-up laparoscopy revealed the presence of endometriosis, the CO2 laser was used to excise or ablate the endometriotic lesions. Fifty-five (48%) of the patients became pregnant, with 12-44 months of follow-up. These 55 patients have had 61 pregnancies. Forty-two (69%) were term, 7 (11%) are ongoing, 11 (28%) aborted, and 1 (2%) was ectopic. Twenty-three (68%) of 34 patients with endometriosis as the only infertility factor had 28 pregnancies. Thirty-two (40%) of the 81 patients with endometriosis associated with other infertility factors produced 33 pregnancies.
医学治疗、手术治疗及综合治疗均已应用于子宫内膜异位症相关不孕症的治疗。二氧化碳激光在初次腹腔镜检查时可提供精确的切除手术优势，并有可能避免进一步的手术和药物治疗。在115例初次或随访腹腔镜检查发现患有子宫内膜异位症的女性中，使用二氧化碳激光切除或消融子宫内膜异位病变。55例（48%）患者在12至44个月的随访期内成功怀孕。这55例患者共怀孕61次。42例（69%）为足月产，7例（11%）仍在继续妊娠，11例（28%）流产，1例（2%）为宫外孕。34例仅因子宫内膜异位症导致不孕的患者中有23例（68%）怀孕28次。81例伴有其他不孕因素的子宫内膜异位症患者中有32例（40%）怀孕33次。
