腹腔镜子宫腺肌病病灶挖除联合子宫动脉阻断术疗效观察  

Efficacy analysis of laparoscopic excision of lesion and uterine artery blockage for adenomyosis

作　　者：苏园园[1] 韩燕华[1] 陈汝虹[1] 李丹彦[1] 刘君[1] 

机构地区：[1]中山市人民医院妇产科,广东中山528403

出　　处：《中国实用妇科与产科杂志》2010年第5期374-376,共3页Chinese Journal of Practical Gynecology and Obstetrics

摘　　要：目的探讨腹腔镜下子宫腺肌病病灶挖除联合子宫动脉钛夹阻断术治疗的临床价值。方法 2006年2月至2008年2月在中山市人民医院观察分析67例子宫腺肌病资料,其中行腹腔镜下子宫腺肌病病灶挖除+子宫动脉钛夹阻断术36例(A组);行子宫腺肌病病灶挖除术31例(B组)。术前、术后记录评价患者痛经、子宫体积、月经量及贫血情况等变化。结果两组痛经症状均有较高缓解率(分别为92.3%,87.5%),差异无统计学意义(P>0.05)。A组子宫体积术前为(177±30)cm3,术后3个月缩小为(132±31)cm3;B组子宫体积术前为(178±35)cm3,术后3个月缩小为(158±28)cm3,两组子宫体积大小与术前差异有统计学意义(P<0.05);两组术后月经量均较前减少,术后6个月开始两组月经量差异有统计学意义(P<0.05)。结论腹腔镜下子宫腺肌病病灶挖除联合子宫动脉钛夹阻断术是一种安全、有效的治疗子宫腺肌病的新方法 。Objective To assess the clinical efficacy of laparoscopic excision of adenomyomas and ligation of bilateral uterine arteries with titanium clips for the treatment of adenomyosis. Methods 67 patients with adenomyomas were ran- domized into two groups in the Zhengshan City Peoples＇Hospital from Feb. 2006 to Feb ,2008. Combined operation group： 36 cases with laparoscopic excision of adenomyomas and ligation of bilateral uterine arteries with titanium clips; adenomyomas evidement group： 31 cases with adenomyomas evidement. Results The remission rate of dysmenorrhea of group A was 92. 3% , group B was 87. 5%. The uterine volumes of group A shrink from （ 177 ± 30） cm^3 into （ 132 ± 31 ） cm^3 month later. The uterine volume of group B shrink from （178 ±35）em^3 into （158 ±28）cm^3 months later. The uterine volume decreased significantly（ P 〈0. 05 ）. The amount of menstruation after operation both decreased in two groups. There was significant difference between two groups 6 months later （ P 〈 0. 05 ）. Conclusion Laparoscopic excision of adenomyomas and ligation of bilateral uterine arteries with titanium clips is proved to be a new, conservative and effective therapy for adenomyosis.

关 键 词：腹腔镜 子宫动脉阻断术 钛夹 子宫腺肌病 

分 类 号：R71[医药卫生—妇产科学]