腹腔镜下单极电消融术治疗子宫腺肌病术后痛经缓解程度的分析

目的 探讨腹腔镜下单极电消融术治疗子宫腺肌病痛经缓解的疗效。方法 对20例子宫腺肌病患者行腹腔镜下单极电消融术，观察其痛经缓解情况，并将治疗前后痛经程度的各项指标根据慢性疼痛分级问卷法进行评分和统计学分析。结果 35％的患者术后第1个月痛经即消失；45％的患者术后3个月痛经消失；20％的患者术后随着月经周期的推移而逐渐缓解。平均观察4～8个月经周期，17例（85％）完全缓解，3例（15％）明显缓解，无部分缓解和无效病例。结论 腹腔镜下单极电消融术治疗子宫腺肌病，痛经缓解明显。

Laparoscopic monopole electromyolysis in treating dysmenorrhea of adenomyosis

Objective To explore the effect of laparoscopic monopole electromyolysis on dysmenorrhea of adenomyosis. Methods Twenty patients with adenomyosis underwent laparoscopic monopole electromyolysis, The dysmenorrhea before and after surgery was evaluated and compared by chronic pain grade questionnaire. Results One month after surgery, dysmenorrhea of 35% patients was disappeared, and 45% three months postoperative, The other 20% patients were released from dysmenorrhea gradually with menstrual cycles. The average follow up time was 6. 29 menstrual cycles. Seventeen women achieved complete alleviation, 3 partially alleviated, none unaffected. Conclusion Dysmenorrbea of adenomyosis can be satisfactorily alleviated by iaparoscopic monopole electromyolysis.