Buttram V C
Fertil Steril. 1979 Dec;32(6):635-40. doi: 10.1016/s0015-0282(16)44410-9.
Two groups of infertile women underwent conservative surgery for endometriosis, group I (107 patients) prior to 1970 and group II (138 patients) after 1970. To determine whether modifications to the surgical approach after 1970 further increased the likelihood of conception, postoperative pregnancy rates were examined. The data suggest that postoperative pregnancy rates can be improved by (1) removal rather than "repair" of diseased adnexa if the involvement is unilateral and (2) leaving diseased areas undisturbed where excision or cauterization may predispose to the development of postoperative ovarian and/or tubal adhesions. The current surgical technique (used for group II) is described in detail.
两组患有子宫内膜异位症的不孕女性接受了保守性手术，第一组（107例患者）于1970年之前接受手术，第二组（138例患者）于1970年之后接受手术。为了确定1970年之后手术方式的改进是否进一步提高了受孕几率，对术后妊娠率进行了检查。数据表明，术后妊娠率可通过以下方式提高：（1）如果病变为单侧，切除而非“修复”患病附件；（2）对于切除或烧灼可能易导致术后卵巢和/或输卵管粘连的患病区域，不予处理。详细描述了当前的手术技术（用于第二组）。
