Combined Treatment of Endometriosis-Related Chronic Pelvic Pain with Laparoscopy

Objective:To evaluate the diagnosis and treatment of endometriosis-related chronic pelvic pain(EMT-related CPP) by laparoscope.Methods:The relationship between site,stage of endometriosis(EMT) and the effect of laparoscope,as well as the pain degree in 86 cases of endometriosis-related chronic pelvic pain patients were retrospectively analyzed.Results:The remission rate of EMT-related CPP by laparoscopic surgery was 90.7%. Ⅰ degree of pain in Ⅱ stage by rAFS was 71.4%,more than Ⅱ degree of pain in Ⅲ and Ⅳ stage was 95.5%. Ⅰ and Ⅱ degree of pain in simple ovarian chocolate cysts and(or) pelvic peritoneum EMT pain was 88.4%. Ⅱ to Ⅲ degree of pain in EMT patients with ectopic lesions invasion of uterosacral ligaments,Douglas pouch,posterior wall of uterus and deep infiltrating was 93.0%.Conclusions:The main causes of EMT-related CPP are invasion of uetrosacral ligament,Douglas pouch,posterior wall of uterus and deep infiltrating in pelvic endometriosis. Laparoscopy can confirm the diagnosis and treat EMT-related CPP,the therapy is satisfactory.