腹腔镜子宫腺肌瘤病灶切除术治疗子宫腺肌病的临床分析  

Clinical analysis of laparoscopic resection of endometrioma in treatment of adenomyosis

作　　者：刘海燕[1] 陶李苏[1] 王家秀[1] 

机构地区：[1]昌吉州人民医院,新疆昌吉831100

出　　处：《腹腔镜外科杂志》2010年第9期712-714,共3页Journal of Laparoscopic Surgery

摘　　要：目的:探讨腹腔镜子宫腺肌瘤病灶切除术的临床疗效。方法:为38例子宫腺肌病患者施行腹腔镜子宫腺肌瘤病灶切除术,观察患者术后痛经程度、经量、周期、经期和贫血情况的变化。结果:术后3个月32例(94.12%)、术后6个月30例(88.24%)痛经症状消失或明显缓解,术后12个月随诊30例,其中26例(86.67%)痛经症状完全消失或明显缓解,无一例较术前加重。术前20例月经量过多患者,18例术后3个月月经量明显减少(P<0.01),月经周期和经期无明显改变(P>0.05)。19例贫血患者,术前平均血红蛋白为(86±14)g/L,术后3个月血红蛋白均恢复至正常,达(124±8)g/L(P<0.05)。结论:腹腔镜子宫腺肌瘤病灶切除术治疗子宫腺肌病疗效明确,患者创伤小,康复快且安全,对年轻、希望保留子宫的患者不失为一种可选择的微创术式。Objective：To investigate the clinical therapeutic effect of laparoscopic resection of endometrioma.Methods：Thirty-eight patients with adenomyosis underwent laparoscopic resection of endometrioma,the changes of postoperative dysmenorrhea,menstrual volume,cycle,menstruation and anemia were observed.Results：The dysmenorrhea completely disappeared or obviously relieved in 32 cases（94.12%） 3 months later,30 cases（88.24%） 6 months later and 26 cases out of 30 cases（86.67%） 12 months later.Dysmenorrhea was more severe than preoperation in no patients.In 20 patients with menorrhagia,the menstrual volume significantly decreased in 3 months（P0.01）,the cycle and menstruation didn＇t obviously changed.For the 19 anemia patients,mean hemoglobin was（86±14）g/L before operation and returned to normal（124±8）g/L（P0.05） 3 months after operation.Conclusions：Laparoscopic resection of endometrioma is mini-invasive,safe,of quick recovery and definite therapeutic effect in treatment of adenomyosis,and is a choice for patients who are young or want to reserve their uteri.

关 键 词：子宫腺肌瘤 腹腔镜检查 病例报告 

分 类 号：R737.33[医药卫生—肿瘤]