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目的:探讨腹腔镜下骶骨韧带切除术联合病灶电灼术治疗子宫内膜异位症痛经的疗效。方法:对21例子宫内膜异位症痛经患者行腹腔镜下骶骨韧带切除术联合病灶电灼术治疗,对合并子宫内膜异位囊肿和子宫腺肌瘤患者同时行囊肿剥除术和子宫腺肌瘤电消融术,盆腔局部病灶予以电灼,术后观察痛经程度。结果:16例(76.2%)痛经完全消失,4例(19.0%)痛经明显缓解,1例(4.8%)痛经部分缓解。术后疼痛评分、分级均明显降低(P<0.01)。结论:腹腔镜下骶骨韧带切除术联合病灶电灼术是治疗子宫内膜异位症痛经的新方法,治疗痛经效果显著。
Objective: To investigate the efficacy of laparoscopic sacral ligament resection combined with lesion electrocautery in the treatment of endometriosis dysmenorrhea. Methods: Twenty-one patients with endometriosis dysmenorrhea were treated with laparoscopic sacral ligament resection combined with lesion cautery. Patients with combined endometriosis and adenomyosis were treated with cyst excision and uterus Adenomyoma electric ablation, pelvic local lesions to be electrocautery, postoperative observation of dysmenorrhea. Results: Dysmenorrhea completely disappeared in 16 cases (76.2%), dysmenorrhea in 4 cases (19.0%) was relieved, and dysmenorrhea in 1 case (4.8%) partially relieved. Postoperative pain scores and grading were significantly lower (P <0.01). Conclusions: Laparoscopic sacral ligament resection combined with lesion cautery is a new method for the treatment of endometriosis dysmenorrhea. The treatment of dysmenorrhea is significant.