摘要：目的：探讨电视腹腔镜治疗卵巢子宫内膜异位症的临床效果。方法：对52例卵巢子宫内膜异位症患者施行了腹腔镜下异位病灶电灼术、卵巢异位内膜囊肿剥除术及附件切除术，通过随访观察疗效。结果：52例手术均未发生严重并发症。随访2～24个月，随访率92.3%(48/52)。39例痛经患者症状完全缓解24例，部分缓解8例，总有效率82.05%，18例不孕症患者受孕10例，妊娠率55.56%。术后复发4例，复发率7.69%。结论：腹腔镜治疗卵巢子宫内膜异位症有创伤小、恢复快、出血少、不易复发的优点，适于临床广泛开展。

    关键词：腹腔镜；卵巢子宫内膜异位症；治疗效果

    Effect of Video Laparoscopy on the Treatment of 52 Cases of Ovarian Endometriosis

    LIANG Xiao-ling，GUO Shao-ling, WU Shu-qing, et al

    (The Central Hospital of Shantou City, Guangdong Shantou 515031， China)

    Abstract: Objective: To evaluate the effect of video laparoscopic treatment in patients with ovarian endometriosis. Method:52 patients with ovarian endometriosis were performed with electric cautery of endometriotic lesions, ovarian endometriotic cysts enucleation and adnexectomy. The curative effect was observed by follow-up. Results: All patients were successfully managed by laparoscopy without major perioperative complications. The patients were followed for 2 to 12 months, the rate was 92.3%. Of 24 among 39 cases with dysmenorrhea were achieved complete remission, 8 cases achieved imcomplete remission, total improvement rate was 82.05%. Of 10 among 18 cases with infertility conceived (55.56%). Four cases showed recurrence, the rate was 7.69%. Conclusion: Treating ovarian endometriosis with laparoscopy has many advantages such as little injury, quick recover, less bleeding and low recurrence, and can be performed widely. ......