目的　比较和评价骶前神经切断术与宫骶韧带切断术治疗盆腔子宫内膜异位症所引起痛经的效果。方法　 2 0 0 0年 3月至 2 0 0 3年 1 0月对深圳市罗湖区人民医院 55例盆腔子宫内膜异位症所致痛经病人行骶前神经和宫骶韧带切断术 ,其中骶前神经切断术 2 1例 ,宫骶韧带切断术 3 4例 ,对两组的手术情况、手术效果、术后随访等进行对比研究。结果　两组病人术后观察 3～ 2 4个月经周期 ,中位随访时间为 1 0个月 ,其中骶前神经切断组有效率为 95% ,宫骶韧带切断组效率为 67%。结论　腹腔镜下骶前神经切断术治疗子宫内膜异位症所引起痛经的疗效明显高于宫骶韧带切断术。 Objective To compare and evaluate the effect of presacral neurotomy and uterosacral ligament resection on dysmenorrhea caused by pelvic endometriosis. Methods From March 2000 to October 2003, 55 cases of dysmenorrhea caused by pelvic endometriosis were treated by anterior presacral and uterosacral ligament resection in Luohu District People’s Hospital of Shenzhen City. Among them, Anterior denervation in 21 cases, uterosacral ligament resection in 34 cases, the two groups of surgery, surgical outcomes, postoperative follow-up comparison study. Results The two groups of patients were observed postoperative 3-4 menstrual cycles, the median follow-up time was 10 months, of which sacral presynaptic group was 95%, uterosacral ligament resection group efficiency of 67%. Conclusions The efficacy of laparoscopic sacrectomy for dysmenorrhea caused by endometriosis is significantly higher than that of uterosacral ligament resection.