改良腹腔镜下子宫腺肌瘤剔除术48例分析  

Effectiveness of improved laparoscopic practicion on adenomyosis:analysis of 48 cases

作　　者：汪蕊[1] 鄢学菊[1] 姚爱香[1] 

机构地区：[1]湖北省荆门市第一人民医院妇科,湖北荆门448000

出　　处：《中国内镜杂志》2011年第3期265-266,270,共3页China Journal of Endoscopy

摘　　要：目的评估改良后的腹腔镜下子宫腺肌瘤剔除术的疗效及对妊娠的影响。方法对48例子宫腺肌瘤患者行腹腔镜下改良子宫腺肌瘤剔除术,并对患者进行随访,评估手术疗效。结果 48例子宫腺肌瘤患者,术中平均出血80mL。手术时间平均90min。术后平均住院时间5d。术后随访时间为12～36个月。32例(66.7%)痛经消失,16例(33.3%)在术后8～15个月痛经再次出现,但程度减轻。痛经对比手术前后,差异有显著性(P<0.01)。5例月经量增多者术后经量均正常,其余月经量均无明显改变,差异无显著性(P>0.05)。8例有生育要求的患者中3例妊娠并择期剖宫产终止妊娠。结论腹腔镜下改良后的子宫腺肌瘤剔除术具有微创、缓解痛经明显、效果满意的优点。[Objective] To evaluate the feasibility and the effective on pregnancy of laparoscopic excision of adenomyosis with improved surgical procedure.[Methods] 48 adenomyosis cases with severe dysmenorrhea were operated on by laparoscopy with improved surgical procedure.The operations were followed lasted for 12 to 36 months.The clinical symptom,ultrasound scan,were recorded.[Results] The adenomyoma was taken out thoroughly,it took 90minutes and amount of bleeding was 80ml.Patients were hospitalized for 5 days.The dysmerorrhea of 32 cases （66.7%） eliminated in the duration of follow-up.And 16 cases （33.3%） got dysmenorrhea again after 8～15 months,but less pain compared with before.There was significant difference.5 cases with menorrhagia became normal,but others had no change.No significant difference was found in the amount of menstruation.[Conclutions] The improved surgical procedure through laparoscopy is effective and mini-injure.

关 键 词：改良 腹腔镜 子宫腺肌瘤 

分 类 号：R711.71[医药卫生—妇产科学]