University of Florida College of Medicine, Gainesville, FL, USA.
Department of Biostatistics, University of Florida, Gainesville, FL, USA.
J Obstet Gynaecol. 2022 Jan;42(1):146-152. doi: 10.1080/01443615.2021.1882967. Epub 2021 May 19.
This study was designed to determine the rates of reoperation following laparoscopic management of endometriosis, with additional aims to examine long-term fertility and quality of life outcomes. This is a retrospective study and a prospective questionnaire of subjects who underwent laparoscopic surgery for pelvic pain and/or endometriosis from 2010 to 2015. The rate of reoperation was 8.60%. Following surgery, 83.3% of previously infertile subjects with endometriosis attempted to conceive with an 80.0% success rate. Subjects had significant improvement in each quality of life measurement and most sexual function indices analysed.Impact Statement Endometriosis is estimated to affect around 35-50% of women experiencing chronic pelvic pain and/or infertility. Surgical management of endometriosis is recommended for patients who desire fertility, are afflicted by a more severe form of endometriosis, or have had persistent or recurrent pain in spite of medical management. The overall rate of reoperation for subjects was low at 8.6%. The majority of infertile patients were able to conceive following surgery. Laparoscopic management of endometriosis is an effective management tool with low rates of reoperation and high efficacy in treating infertility caused by endometriosis.
本研究旨在确定腹腔镜治疗子宫内膜异位症后的再次手术率，并进一步检查长期生育和生活质量的结果。这是一项回顾性研究和前瞻性问卷调查，对象是 2010 年至 2015 年间因盆腔疼痛和/或子宫内膜异位症接受腹腔镜手术的患者。再次手术率为 8.60%。手术后，83.3%的先前患有子宫内膜异位症的不孕患者尝试受孕，成功率为 80.0%。患者的生活质量测量和分析的大多数性功能指数都有显著改善。
子宫内膜异位症估计会影响大约 35-50%经历慢性盆腔疼痛和/或不孕的女性。对于有生育需求、患有更严重形式的子宫内膜异位症或尽管接受了药物治疗但仍有持续或反复疼痛的患者，建议对子宫内膜异位症进行手术治疗。再次手术的患者总数比例较低，为 8.6%。大多数不孕患者在手术后能够受孕。腹腔镜治疗子宫内膜异位症是一种有效的治疗方法，其再次手术率较低，治疗由子宫内膜异位症引起的不孕的效果很高。
