我科1984年5月～1986年12月共施行腹腔镜检查216例,其中诊断为盆腔子宫内膜异位症者56例,占21.07%。检查前有11例临床疑为盆腔炎性包块或肿瘤,临床误诊率为20%,经腹腔镜检查后,本组盆腔子宫内膜异位症的确诊率为98.2%(55/56)。本文介绍作者应用腹腔镜检查诊断盆腔子宫内膜异位症的一些经验,认为这种检查方法可提高子宫内膜异位症的诊断率,并可制订临床分期以供给治疗上的参考。 Our department from May 1984 to December 1986 were performed laparoscopy in 216 cases, of which diagnosis of pelvic endometriosis in 56 cases, accounting for 21.07%. Before the examination, 11 cases of clinical pelvic inflammatory mass or tumor were suspected with a clinical misdiagnosis rate of 20%. After laparoscopy, the diagnosis rate of pelvic endometriosis in this group was 98.2% (55/56). This article describes the author of the application of laparoscopy diagnosis of pelvic endometriosis experience that this method can improve the diagnosis of endometriosis, and clinical staging can be prepared to provide a therapeutic reference.