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[应用Nd:YAG激光和微波进行腹腔镜下子宫内膜异位症的治疗]

[Laparoscopic treatment of endometriosis with Nd: YAG laser and microwave].

作者信息

Sun A, Li C, Wang M

机构信息

Peking Union Medical College Hospital, Beijing.

出版信息

Zhonghua Fu Chan Ke Za Zhi. 1995 Mar;30(3):138-41.

PMID:7796644
Abstract

A series of 200 cases of endometriosis were treated laparoscopically by Nd: YAG laser and microwave at Peking Union Medical College Hospital. All the operations were performed under local and topical anesthesia follow-up for 10-48 months revealed good results. Of 76 cases with infertility, 46 (60.5%) conceived after treatment. Of 114 cases with ovarian endometriomas, the cysts were no longer found in 81 cases (71.1%), decreased in size in 24 cases (21.0%). Of 180 cases with pain symptoms, 105 patients (58.3%) were achieved complete relief, Partial relief in 61 cases (33.9%). It has been found that laparoscopic surgery is effective to improve fertile rate for the patients with all the stages of endometriosis. The results showed that the microwave and Nd: YAG laser can be achieved with safety and success. The microwave is safer than Nd: YAG laser and is easier to operate and less expensive.

摘要

北京协和医院采用钕钇铝石榴石激光(Nd: YAG激光)和微波对200例子宫内膜异位症患者进行了腹腔镜手术治疗。所有手术均在局部和表面麻醉下进行,10至48个月的随访显示效果良好。76例不孕患者中,46例(60.5%)治疗后受孕。114例卵巢子宫内膜异位囊肿患者中,81例(71.1%)囊肿消失,24例(21.0%)囊肿缩小。180例有疼痛症状的患者中,105例(58.3%)疼痛完全缓解,61例(33.9%)部分缓解。研究发现,腹腔镜手术对提高各期子宫内膜异位症患者的受孕率有效。结果表明,微波和Nd: YAG激光手术安全且成功。微波比Nd: YAG激光更安全,操作更简便,成本更低。

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