腹腔镜下骶前神经切除术治疗子宫内膜异位症致痛经的疗效观察

Investigation of the effects of presacral neurectomy on dysmenorrhea induced by endometriosis by laparoscope

目的：评价骶前神经切除术治疗盆腔子宫内膜异位症致痛经的疗效。方法：2000年3月以来，深圳市罗湖区人民医院为97例盆腔子宫内膜异位症所致痛经病人行骶前神经切除术、宫骶韧带切除术和单纯病灶切除术。其中骶前神经切除术29例，宫骶韧带切除术35例，单纯病灶切除术33例，对3组的手术情况、手术效果、术后随访等进行对比研究。结果：3组病人术后随访1—24个月经周期，3组病人术后痛经完全缓解率骶前神经切除术组、宫骶韧带切除术组和单纯病灶切除术组12个月分别为75．9％、37．1％和33．3％。24个月为72．5％、31．4％和21．2％。结论：腹腔镜下骶前神经切除术能明显提高子宫内膜异位症致痛经的治愈率。

Objective： To investigate the effects of presacral neurectomy （PSN） in women with dysmenorrhea due to endometriosis treated with conservative laparoscopic surgical intervention. Methods： 97 patients were divided into PSN group with 29 patients, uterosacral ligament amputation group with 35 patients and endometriosis amputatio group with 33 patients. At 6 and 12 months after the surgical proce, dures, the cure rate was evaluated. Results： The cure rate was significantly higher in group PSN compared with that in uterosaeral ligament amputation group and endometriosis focus amputation group at a follow - up examination at 12 months （75.9% vs 37.1% and 33. 3% ） and 24 months （72. 5% vs 31.4% and 21.2% ） . Conclusion： Presacral neurectomy improves the cure rate in women treated with conservative laparoscopic surgery for dysmenorrhea caused by endometriosis.