Application of Presacral Neurectomy Combined with Uterosacral Ligament Amputation under Laparoscopic in the Treatment of Different Types of Endometriosis

Objective:To eveluate and compare the therapeutic effects of presacral neurectomy combined with uterosacral ligament amputation under laparoscopic for dysmenorrhea and sexual pain caused by endometriosis.Method:The clinic data of 143 patients with endometriosis from January 2005 to December 2010 were collected in this research.68 case(sGroup A)were treated with hysteroscopy laparoscopy alone and the other 75 patient(sGroup B)were treated with presacral neurectomy combined with uterosacral ligament amputation under laparoscopic.Group A were divided into 3 subgoups: (1)20 cases(A1)of peritoneal endometriosis treated with lesion resection;(2)25 cases(A2)of ovarian endometriosis treated with cyst decollement laparoscopy;(3)23 cases(A3)of deep infiltrating endometriosis. Group B were divided into 3 subgoups:(1)19 cases(B1)pritoneal endometriosis; (2)29 cases(B2)of varian endometriosis;(3)27 cases(B3)of deep infiltrating endometriosis.The postoperative follow-up results were compared. Result:There was no significant difference(P 0.005),so is it between the group A2 and that of group B2 on dysmenorrhea and sexual pain( P 0.05). In contrast,there was significant difference of remission rate of dysmenorrhea and sexual pain between A3 and B3( P 0.05). Conclusion:The presacral neurectomy combined with uterosacral ligament amputation under laparoscopic can improve the cure rate of dysmenorrhea and painful sexual intercourse caused by deep invasion uterus endometriosis.