有生育要求子宫内膜异位症患者的手术处理

摘要/Abstract

摘要：

子宫内膜异位症是引起育龄期女性慢性盆腔痛、痛经及不孕的主要因素之一，对有生育要求的患者，手术是最佳治疗方法的观点已得到公认。手术方式的选择至关重要，积极去除子宫内膜异位症病灶，可有效改善妊娠率，缓解疼痛。文章针对有生育要求子宫内膜异位症患者的手术方式及效果进行了探讨。

关键词: 子宫内膜异位症, 保守治疗, 手术, 妊娠；腹腔镜

Abstract:

Abstract：It is caused by endometriosis that chronic pelvic pain,dysmenorrhea and infertility in reproductive age, surgery is the best treatment for the reproductive women with fertility requirement. Removing endometriosical lesions can improve pregnancy outcomes and relieve pain. But it is important to the choice of surgical approach for different types of endometriosis. In this paper, we review the surgical approach and treatment to the patient with fertility requirements.

Key words: endometriosis, expectant treatment, surgery, pregnancy, laparoscope

中图分类号:

R711.71

胡凌云，李亚里. 有生育要求子宫内膜异位症患者的手术处理[J]. 中国实用妇科与产科杂志.

参考文献

[1] Ballweg ML. Impact of endometriosis on women's health: comparative historical data show that the earlier the onset, the more sever the disease[J]. Best Pract Res Clin Obstet Gynaecol, 2004,18:201-218. 

[2] Wills HJ, Reid GD, Cooper MJ, et al. Fertility and pain outcomes following laparoscopic segmental bowel resection for colorectal endometriosis: a review[J]. Aust N Z J Obstet Gynaecol, 2008, 48: 292-295.

[3] Milingos S, Mavrommatis C, Elsheikh A, et al. Fecundity of infertile women with minimal or mild endometriosis[J]. A Clin Study Arch Gynecol Obstet, 2002,267:37-40.

[4] Bedaiway MA, Falcone T, Katz E, et al. Association between time from endometriosis surgery and outcomes of in vitro fertilization cycles[J]. J Reprod Med, 2008,53:161-165.

[5] Vercellini P, Chapron C, De Giorgi O, et al. Coagulation or excision of ovarian endometriomas?[J]. Am J Obstet Gynecol, 2003,188: 606-610.

[6] Francisco J, Ruiz-Floresa, Juan A. Is there a benefit for surgery in endometriomaassociated infertility?[J]. Curr Opin Obstet Gynecol, 2012,24:136-140.

[7] Kitajima M, Defre` re S, Dolmans MM, et al. Endometriomas as a possible cause of reduced ovarian reserve in women with endometriosis[J]. Fertil Steril, 2011,96:685-691.

[8] Benaglia L, Somigliana E, Vighi V, et al. Rate of severe ovarian damage following surgery for endometriomas[J]. Hum Reprod, 2010,25:678-682.

[9] Roman H, Auber M, Mokdad C, et al. Ovarian endometrioma ablation using plasma energy versus cystectomy: a step toward better preservation of the ovarian parenchyma in women wishing to conceive[J]. Fertil Steril, 2011,96:1396-1400.

[10] Tsolakidis D, Pados G, Vavilis D, et al. The impact on ovarian reserve after laparoscopic ovarian cystectomy versus three-stage management in patients with endometriomas: a prospective randomized study[J]. Fertil Steril,2010,94:71-77.

[11] Var T, Batioglu S, Tonguc E, et al. The effect of laparoscopic ovarian cystectomy versus coagulation in bilateral endometriomas on ovarian reserve as determined by antral follicle count and ovarian volume: a prospective randomized study[J]. Fertil Steril,2011,95:2247-2250.

[12] Pisanu A, Deplano D, Angioni S, et al. Rectal perforation from endometriosis in pregnancy: case report and literature review[J]. World J Gastroenterol,2010,16:648-651.

[13] Benagiano G, Brosens I. History of adenomyosis[J]. Best Pract Res Clin Obstet Gynaecol,2006,20:449-463.

[14] Kondo W, Bourdel N, Tamburro S, et al. Complications after surgery for deeply infiltrating pelvic endometriosis[J]. BJOG, 2011,118: 292-298.

[15] Roman H, Rozsnayi F, Puscasiu L, et al. Complications associated with two laparoscopic procedures used in the management of rectal endometriosis[J]. JSLS,2010,14:169-177.