腹腔镜下保守手术与子宫动脉栓塞术治疗子宫腺肌症疗效比较  

Comparison of Clinical Therapeutic Effect Between Laparoscopic Conservative Surgery and Uterine Arterial Embolization in the Treatment of Adenomyosis

作　　者：沈丹[1] 祝育德[1] 肖贤[2] 许卫国[3] 闫彩平[1] 

机构地区：[1]暨南大学附属第三医院妇科 [2]暨南大学附属第三医院B超科 [3]暨南大学附属第三医院放射科,广东珠海519000

出　　处：《川北医学院学报》2011年第6期513-517,共5页Journal of North Sichuan Medical College

基　　金：珠海市科技局项目(pc20081019)

摘　　要：目的:探讨腹腔镜下保守手术、子宫动脉栓塞术治疗子宫腺肌病的疗效。方法:对42例子宫腺肌病患者行腹腔镜下保守手术,45例子宫腺肌病患者行子宫动脉栓塞术。术后1、3、6、12个月随访,观察患者临床症状变化,子宫体积变化,及血清CA125、FSH、LH、E2水平变化。结果:腹腔镜下保守手术和子宫动脉栓塞术后,各组患者临床症状明显缓解,月经量明显减少,贫血改善(p<0.05);子宫体积和病灶体积均明显缩小;CA125水平均明显下降;卵巢内分泌功能均无明显影响。结论:腹腔镜下保守性手术和子宫动脉栓塞术均是保守性治疗子宫腺肌症的有效方法,但子宫动脉栓塞术更适合有生育要求保留子宫的患者。Objective：To compare the clinical therapeutic effect between laparoscopic conservative surgery and uterine arterial embolization（UAE） for endometriosis.Methods： Laparoscopic conservative surgery was performed in 42 patients with adenomyosis,and UAE procedures were performed in 45 cases.The clinical symptoms,uterine volume,serum CA125,follicle-stimulating hormone（FSH）,luteinizing hormone（LH）,and estradiol（E2） were observed after one,three,six and 12 months after treatment respectively.Results： After laparoscopic conservative surgery and UAE,clinical symptoms were relieved in all cases respectively（p0.05）;the volume of uterine and lesions,and the level of serum CA125 were obviously reduced.There was no significant effect on ovarian endocrine function（p0.05）.Conclusions： Laparoscopic conservative surgery and UAE are effective and safe methods in the treatment of adenomyosis,but UAE is more suitable for patients who have fertility requirements retaining the uterus.

关 键 词：子宫腺肌病 腹腔镜下保守手术 子宫动脉栓塞术 

分 类 号：R711.74[医药卫生—妇产科学]