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目的探讨腹腔镜宫骶韧带切断术联合病灶剥除电灼术治疗子宫内膜异位症所致痛经的疗效。方法2000年3月～2004年8月对86例子宫内膜异位症所致痛经行腹腔镜下宫骶韧带切断术联合病灶剥除电灼术,对其中37例同时行卵巢子宫内膜异位囊肿剥除与盆腔子宫内膜异位病灶电灼术,余49例同时对肉眼所见盆腔子宫内膜异位病灶予以电灼。3例因宫骶韧带增粗或局部粘连,术中在插入输尿管红外线显示导管后予以切断。结果86例随访6～48个月,中位时间23个月,痛经完全缓解36例,部分缓解29例,21例无效,有效率75.6%(65/86)。结论腹腔镜下宫骶韧带切断术联合病灶剥除电灼术对子宫内膜异位症所致痛经治疗效果显著。
Objective To investigate the efficacy of laparoscopic uterosacral ligament resection combined with lesion stripping cauterization in the treatment of dysmenorrhea caused by endometriosis. Methods From March 2000 to August 2004, 86 cases of dysmenorrhea caused by endometriosis were treated by laparoscopic uterosacral ligament resection combined with lesion stripping cauterization, of which 37 cases were treated with ovarian endometriosis Cyst excision and pelvic endometriosis lesions cautery, more than 49 cases of pelvic endometriosis seen by the naked eye to be electrocautery. 3 cases due to uterosacral ligament thickening or local adhesion, intraoperative insertion of ureteral infrared catheter to be cut off. Results 86 cases were followed up for 6 to 48 months with a median time of 23 months. 36 cases were completely relieved of dysmenorrhea, 29 cases were partially relieved and 21 cases were ineffective. The effective rate was 75.6% (65/86). Conclusion laparoscopic uterosacral ligament resection combined with lesions stripping cauterization endometriosis caused by dysmenorrhea treatment effect was significant.