摘要：目的:探讨腹腔镜手术治疗复杂子宫内膜异位症的临床价值。方法:回顾性分析腹腔镜手术治疗88例复杂子宫内膜异位症的手术方式,术中技巧,适应症等。结果:88例患者均在腹腔镜下手术, 平均手术时间104.7±50.6min,平均住院时间2.08±1.17days,术中平均出血量55±23ml。结论:腹腔镜手术治疗复杂子宫内膜异位症是安全,可行的,双极电凝头可以安全地分离消失的陶氏腔,近期疗效良好

    关键词： 腹腔镜； 治疗； 子宫内膜异位症

    Clinical Analysis of Complicated Pelvic Endometrosis by Laparoscopic Surgery

    LU Huan-xia, LIAO Wen-yan, ZHANG Yong-feng

    (The First Affiliated Hospital of Shantou University, Guangdong Shantou 515041,China)

    Abstract： Objective: To explore the value of complicated pelvic endometriosis by laparoscopic surgery.Method: The methodology of the laparoscopic surgery of advanced and complicated pelvic endometriosis was described in details, the short-term results of the management were evaluated. Result: 88 cases of advanced endometriosis were managed laparoscopically . The average operation time is 104.7±50.6min.All cases were performed by laparoscopic surgery without conversion during the operation .The average blood loss was 55 ±23ml. Conclusion: The large endometrioma (diameter>8cm) could be removed completely by laparoscopic surgery and the obliterated pouch of Douglas can be safely dissected by bipolar electrocoagulator. ......