腹腔镜下应用激光与微波手术治疗子宫内膜异位症

Laparoscopic treatment of cndometriosis with Nd:YAG laser and microwave

于腹腔镜下应用Ｎｄ：ＹＡＧ激光与微波手术治疗子宫内膜异位症２００例。术后随诊１０～４８个月。结果：２００例中，合并不孕７６例，术后妊娠率６０．５％；合并卵巢巧克力囊肿１１４例，术后囊肿消失率为７１．１％，有效率为９２．１％；主诉疼痛症状１８０例，术后疼痛完全缓解率为５８．３％，有效率为９２．２％。认为内膜异位症合并不孕患者，不论病变或期别如何，均有腹腔镜下手术的指征；讨论了局部麻醉下进行腹腔镜手术治疗的优越性；激光与微波治疗的疗效虽相仿，但实际操作，微波治疗优于激光治疗。

series of 200 cases of endometriosis were treated laparoscopically by Nd :YAG laser and mi-crowave 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 ilnprove 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.