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为探讨腹腔镜下腹膜内膜异位病变的肉眼所见和组织学诊断之间的相关性。对44例因慢性盆腔疼痛或难治性内膜异位症(EMs)进行腹腔镜检查的患者进行前瞻性研究。记录腹腔镜下所有典型和不典型EMs病变的类型和部位,并进行完整切除及病理检查。对外观正常的腹膜也进行活检以除外显微镜下的EMs病灶。 采用修订的美国生育协会(AFS)分期法,去除那些只有肉眼诊断,缺乏组织学证实的AFS,即为组织学AFS。组织
To investigate the relationship between gross findings and histological diagnosis of laparoscopic retroperitoneal lesions. Forty-four patients undergoing laparoscopy for chronic pelvic pain or refractory endometriosis (EMs) were prospectively studied. Type and location of all typical and atypical EMs laparoscopic lesions were recorded, and complete resection and pathological examination were performed. Normal appearance of the peritoneum is also biopsy to exclude microscopic EMs lesions. AFS, a revision of the American Fertility Association (AFS), was used to remove AFS, which is diagnosed by the naked eye and lacking in histological evidence. organization