Chapron C, Dubuisson J B, Fritel X, Fernandez B, Poncelet C, Béguin S, Pinelli L
Service de Chirurgie Gynécologique (Prof Dubuisson), Clinique Universitaire Baudelocque, C.H.U. Cochin Port-Royal, 123 Boulevard Port-Royal, 75014 Paris, France; fax 33 1 40 51 77 62.
J Am Assoc Gynecol Laparosc. 1999 Feb;6(1):31-7. doi: 10.1016/s1074-3804(99)80037-1.
To describe and assess the efficacy of laparoscopic surgical treatment for patients with pain and deep endometriosis located on the uterosacral ligaments.
Retrospective analysis (Canadian Task Force classification II-2).
University-affiliated hospital.
One hundred ten consecutive women with deep endometriosis infiltrating uterosacral ligaments.
Operative laparoscopic management of endometriosis.
Improvement was reported in 82.3% (70/85) of patients with severe dysmenorrhea and was considered satisfactory in 82.8% (58/70). Improvement also occurred in 88.2% (75/85) of women with deep dyspareunia, and was considered satisfactory in 88.0% (66/75).
Provided the surgeon is highly skilled in laparoscopy, operative laparoscopy is efficient for the treatment of painful symptoms related to deep endometriosis infiltrating uterosacral ligaments. (J Am Assoc Gynecol Laparosc 6(1):31-37, 1999)
描述并评估腹腔镜手术治疗子宫骶韧带疼痛及深部子宫内膜异位症患者的疗效。
回顾性分析(加拿大工作组分类II-2)。
大学附属医院。
110例连续的深部子宫内膜异位症浸润子宫骶韧带的女性。
腹腔镜手术治疗子宫内膜异位症。
82.3%(70/85)的重度痛经患者报告症状改善,其中82.8%(58/70)认为效果满意。88.2%(75/85)的深部性交困难女性症状也有改善,其中88.0%(66/75)认为效果满意。
如果外科医生具备高超的腹腔镜手术技能,那么腹腔镜手术对于治疗子宫骶韧带浸润性深部子宫内膜异位症相关的疼痛症状是有效的。(《美国妇科腹腔镜医师协会杂志》6(1):31-37,1999年)