腹腔镜下子宫腺肌病病灶切除术治疗子宫腺肌病的临床分析

发布时间：2018-04-25 18:27

本文选题：子宫腺肌病 + 腹腔镜　；参考：《现代妇产科进展》2015年02期

【摘要】：目的:观察腹腔镜下子宫腺肌病病灶切除术治疗子宫腺肌病的临床疗效。方法:2008年1月至2010年6月对74例子宫腺肌病患者行腹腔镜下子宫腺肌病病灶切除术。术后定期随访患者,观察临床疗效,包括痛经程度、月经情况(周期、经期、经量)、贫血及子宫体积的变化。结果:术后1、3、6、12、24个月痛经消失和明显缓解的患者分别为64例(86.5%)、68例(91.9%)、60例(81.1%)、51例(68.9%)和31例(41.9%);术前53例月经过多患者中45例术后月经量明显减少(P0.05);术前45例贫血患者,术后血红蛋白明显升高(P0.05);术后患者子宫体积较术前明显缩小(P0.05);术后患者月经周期和经期无明显改变(P0.05)。结论:腹腔镜下行子宫腺肌病病灶切除术治疗子宫腺肌病的近期疗效明确,对年轻希望生育或要求保留子宫的子宫腺肌病患者可作为一种可选择的微创手术方式。
[Abstract]:Objective: to observe the clinical effect of laparoscopic resection of adenomyosis. Methods: from January 2008 to June 2010, 74 patients with adenomyosis underwent laparoscopic resection of adenomyosis. Patients were followed up regularly after operation to observe the clinical curative effect, including dysmenorrhea degree, menstrual condition (cycle, menstrual period, menstrual volume, anemia and changes of uterine volume). Results: in 64 cases of dysmenorrhea disappeared and significantly relieved at 12 and 24 months after operation, 64 patients with dysmenorrhea disappeared and 68 patients were diagnosed as having dysmenorrhea in 61.9 patients and 51 patients with dysmenorrhea in 51 patients (68.9%) and 31 patients with menstrual dysmenorrhea in 51 patients (68.9%); in 53 patients with menorrhagia before and after operation, the menstrual volume decreased significantly in 45 patients with menstrual dysmenorrhea (P 0.05); and in 45 patients with anemia before operation, After operation, the hemoglobin increased significantly (P 0.05), the volume of uterus decreased significantly than that before operation (P 0.05), and the menstrual cycle and menstrual period of postoperative patients did not change significantly (P 0.05). Conclusion: laparoscopic resection of adenomyosis lesions is effective in the treatment of adenomyosis. It can be used as an alternative minimally invasive operation for young patients who wish to have children or ask to keep the uterus.
【作者单位】：复旦大学附属妇产科医院妇科;
【分类号】：R711.74

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