Laparoscopic Surgery for Endometriosis

被引：36

作者：

Catenacci, Michelle ^{[1
]}

Sastry, Sucetha ^{[1
]}

Falcone, Tommaso ^{[1
]}

机构：

[1] Cleveland Clin, Dept Obstet & Gynecol, Cleveland, OH 44106 USA

来源：

CLINICAL OBSTETRICS AND GYNECOLOGY | 2009年 / 52卷 / 03期

关键词：

endometriosis; infertility; pelvic pain laparoscopy; PLACEBO-CONTROLLED TRIAL; CHRONIC PELVIC PAIN; MILD ENDOMETRIOSIS; FOLLOW-UP; PRESACRAL NEURECTOMY; INFERTILE WOMEN; RANDOMIZED-TRIAL; IV ENDOMETRIOSIS; STAGE-III; EXCISION;

D O I：

10.1097/GRF.0b013e3181b08cc3

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Endometriosis is a leading cause of pelvic pain and infertility in women. Laparoscopy can both diagnose and treat this disease. The aim of this review was to examine current literature on treatments for endometriosis for both pain and infertility. Evidence Supports removal of severe disease, including ovarian endometriomas, for improved pregnancy Outcomes. However, for patients that fail initial Surgery, in vitro fertilization may yield superior outcomes over repeat Surgery. For pelvic pain, surgery has been shown to improve symptoms although there is a significant placebo effect with Surgery. Finally, hysterectomy can be offered to women who fail initial conservative surgery.

引用

页码：351 / 361

页数：11

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