腹腔镜梭形切除子宫腺肌瘤疗效评价  

Evaluation of curative effect of laparoscopic fusiform excision in the treatment of uterine adenomyoma

作　　者：卢琦琦 

机构地区：[1]广东省揭阳市蓝城区人民医院,广东揭阳522071

出　　处：《中国医药科学》2015年第8期143-144,147,共3页China Medicine And Pharmacy

摘　　要：目的观察腹腔镜梭形切除治疗子宫腺肌瘤的临床疗效。方法以我院124例子宫腺肌瘤患者为研究对象,按切除方法分为两组,A组(62例)采取腹腔镜子宫次全切除术,B组(62例)采取腹腔镜子宫腺肌瘤局部病灶梭形切除,比较两组的临床疗效。结果 A组术后痛经缓解率98.39%,B组术后痛经缓解率93.55%,组间比较差异无统计学意义(P>0.05);A组术后1年再次妊娠率61.29%,B组术后1年再次妊娠率80.65%,组间比较差异有统计学意义(P<0.05);A组术后复发率4.84%,B组术后复发率11.29%,组间比较差异无统计学意义(P>0.05)。结论腹腔镜梭形切除治疗子宫腺肌瘤的疗效确切,利于保留子宫生育功能,值得进一步应用。Objective To observe clinical curative effect of laparoscopic fusiform excision in the treatment of uterine adenomyoma. Methods 124 cases patients with uterine adenomyoma were selected as research object in our hospital.They were divided into two groups according to the excision method.Laparoscopic subtotal hysterectomy was taken by group A（62 cases）.Laparoscopic uterine adenomyoma local lesion fusiform excision was taken by group B（62 cases）.The effect was then compared. Results Dysmenorrheal remission rate of group A was 98.39%after operation, and the group B was 93.55%.There was no significant difference between groups（P〉0.05）.1 years after operation,the subsequent pregnancy rate of group A was 61.29%,and the group B was 80.65%.There was significant difference between groups （P 〈 0.05）.The postoperative recurrence rate of group A was 4.84%,and the group B was 11.29%. There was no significant difference between groups（P〉0.05）. Conclusion Laparoscopic fusiform excision has the exact effect in the treatment uterine adenomyoma,which benefits uterine preservation of reproductive function.It is worthy of application.

关 键 词：腹腔镜 梭形切除 子宫腺肌瘤 疗效评价 

分 类 号：R711.71[医药卫生—妇产科学]