Airiti Library華藝線上圖書館 | 合法醫療器材資訊網

由YLTsai著作·2004—CombinedLaparoscopyandMinilaparotomyintheManagementofStageⅢandⅣEndometriosiswithanEndometrioma.第三及第四期子宮內膜異位症合併子宮內膜異位 ...

Background and Purpose: We attempted to assess the technique and pregnancy outcomes of combined laparoscopy and minilaparotomy for stage Ⅲ and Ⅳ endometriosis with an endometrioma. Methods: In total, 49 patients with Stage Ⅲ or Ⅳ endometriosis with an endometrioma were examined in this study. All patients received treatment with combined laparoscopy and minilaparotomy between August 1999 and July 2000. Preoperative ultrasonography was performed to diagnose the endometrioma and measure the tumor size. The serum CA-125 level was checked 1 week before surgery. Patients were then inspected for pregnancy outcome and disease recurrence over a 36-month follow-up period. Results: Six patients were lost to follow-up after surgery (12.2%). The mean age of the patients (n=43) was 30.3±4.2 years. The mean serumCA-125 level was 72.3±67.7 U/ml, and 74.4% of the tumors were larger than 3 cm in ...