腹腔镜诊治子宫内膜异位症新进展

New progress in diagnosing and treating endometriosis with the help of laparoscope

子宫内膜异位症是育龄妇女的常见病 ,且发病率逐年增高。随着腹腔镜微创技术在妇科临床的广泛、深入应用 ,腹腔镜检查已成为子宫内膜异位症诊断的金标准。在腹腔镜直视下可确定诊断 ,并利用其放大作用能识别微小病灶 ,对可疑病变处可进行热—色试验、美兰着色试验或活组织检查 ,使诊断率明显提高。同时腹腔镜下可进行病灶电凝、内凝、激光烧灼或病灶切除、粘连分离 ,卵巢内膜异位囊肿剥除 ,骶韧带切断等各种术式的治疗。缓解、消除疼痛、减少复发和术后粘连 ,可明显提高合并不孕症患者的妊娠率。与传统的开腹手术比较 ,具有创伤小、恢复快、术后粘连发生率低、并发症少、住院时间短、治疗效果好等优点 。

Endometriosis is a common disease among women of childbearing age and the incidence of this disease has been going up year by year. With the expansion and appliance of Laparoscope, it has become the most important way in diagnosis of endometriosis. Under the directly dynamic observation, we can tell minifocus with its magnifying function, while we can use hot-color test, methyithioninium chloride test and biopsies for dubious focus, which makes the diagnosis more accurate and precise. With Laparoscope we can electrocoagulate, intracoagulate, fulgurate or excise the focus and we can also disconnect adhesions, enucleateovarian endometrosis cyst and transect nteroseral ligments. Laparoscope can relieve pain, reduce recrndescence and postoperative adhesion and increase the pregnancy rate of infertility. Laparoscopic operation is superior to intra-abdominal surgery for it is safe, has a quick recovery and its lower adhesion rate of postoperation reduced complications and hospitalization days. It has become the first choice of the operation style of endometriosis.