Chong A P, Baggish M S
Fertil Steril. 1984 Jan;41(1):14-9.
A significant number of patients with severe pelvic endometriosis are at risk of developing pelvic adhesions and/or loss of ovarian function. Although numerous surgical techniques have been advocated, none has any clear advantage over the others. This article presents a new surgical method for conservative management of pelvic endometriosis. The CO2 laser, directed via the microscope or the freehand piece of the articulated arm, was utilized to vaporize focal endometrial implants, to excise endometrial cysts, and to lyse pelvic adhesions in 54 patients. Fourteen of 23 patients (60.8%) attempting pregnancy have conceived at the time of this report. The observed advantages of laser surgery for endometriosis are a bloodless field, precision destruction (vaporization), precision cutting, and the ability to treat poorly accessible areas.
大量重度盆腔子宫内膜异位症患者有发生盆腔粘连和/或卵巢功能丧失的风险。尽管已经提倡了多种手术技术，但没有一种技术比其他技术具有明显优势。本文介绍了一种保守治疗盆腔子宫内膜异位症的新手术方法。通过显微镜或关节臂的徒手部件引导的二氧化碳激光，用于汽化局灶性子宫内膜植入物、切除子宫内膜囊肿以及松解54例患者的盆腔粘连。在本报告发布时，23例尝试怀孕的患者中有14例（60.8%）已受孕。观察到的激光手术治疗子宫内膜异位症的优点是术野无血、精确破坏（汽化）、精确切割以及能够治疗难以触及的区域。
