子宫腺肌症病灶切除术治疗子宫腺肌症59例临床分析

摘要

Objective:To investigate the improvement of dysmenorrhea and pregnancy after lesion resection of adenomyosis. Methods:The clinieal data of 59 patients who accepted open or laparoscopic lesion resection of adenomyosis from Jan. 2003 to Dec. 2008 were retrospectively analyzed. Results:All operations were successful. There was not difference in operative time between laparoscopic and open operation, and the blood loss of laparoscopic operation was less. 44 of 52 (84.6% ) women with dysmenorrhea were alleviated. 12 of 30 women who suffered from infertility conceived after surgery. Conclusions: The lesion resection of adenomyosis is a safe and effective procedure to significantly reduce the extent of dysraenorrhea, increase postoperative pregnancy rate, and preserve their fertility ability.%目的:探讨子宫腺肌症病灶切除术后患者痛经改善情况及妊娠情况.方法:回顾分析2003年1月至2008年12月为59例患者施行保留生育能力的开腹或腹腔镜子宫腺肌症病灶切除术的临床资料.结果:59例手术均获成功.两组手术时间差异无统计学意义,腹腔镜组术中出血少.52例痛经患者,术后44例缓解,缓解率84.6%,30例不孕患者,术后12例妊娠.结论:子宫腺肌症病灶切除术安全有效,能显著改善痛经情况,提高术后妊娠率,可作为保留患者生育能力的治疗方式之