作者:Makoto Tokushige、Hiroshi Suginami、Fumiaki Taniguchi、Yuki Kitaoka
DOI:10.1111/j.1447-0756.2000.tb01350.x
日期:2000.12
AbstractObjective: To investigate if complete resolution of endometriosis by laparoscopic surgery is beneficial to postoperative fecundity, dysmenorrhea and dyspareunia.Design: An observational comparative study on the outcome of laparoscopic surgery.Patients: Laparoscopically‐treated symptomatic women with endometriosis (total n = 236); complete (n = 185) and incomplete (n = 51) surgery groups.Measurements: Postoperative fecundity and symptom reduction.Results: With whole populations, no surgical completeness‐related difference was observed in cumulative pregnancy rates during the postoperative days 0–400 (cycle fecundity rate = 0.0319). Further accumulation of pregnant cases was followed in the complete surgery group (final cumulative pregnancy rate = 80%), but not in the counterpart group (p = 0.003). The similar result was obtained when only r‐AFS classification stages III and IV were compared (p = 0.007). No r‐AFS stage‐related difference was observed in cumulative pregnancy rates when only patients of complete surgery were selected for comparison. The surgery reduced dysmenorrhea (84.7%) and dyspareunia (80.0%).Conclusions: Laparoscopic conservative surgery for endometriosis, especially when it is complete, increases fecundity and reduces disease‐related symptoms, such as dysmenorrhea and dyspareunia.