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| 子宫神经去除术治疗子宫腺肌症疼痛的临床观察 | |
| 引用本文： | 关铮,张卓梅,宫庭钰,李亚里,周应芳,冷金花,段华,张震宇. 子宫神经去除术治疗子宫腺肌症疼痛的临床观察[J]. 中国妇产科临床杂志, 2008, 9(2): 103-105 |
| 作者姓名： | 关铮 张卓梅 宫庭钰 李亚里 周应芳 冷金花 段华 张震宇 |
| 作者单位： | 1. 中国人民解放军总医院,北京,100853 2. 北京大学第一医院 3. 北京协和医院 4. 北京妇产医院 5. 北京朝阳医院 |
| 基金项目： | 北京市科学技术委员会2004~2007重点项目(H030930040230)资助 |
| 摘 要： | 目的探讨子宫神经去除术（LUNA）治疗子宫腺肌症痛经及慢性盆腔痛的临床效果。方法对患有痛经、非经期盆腔痛或性交痛的子宫腺肌症患者进行LUNA手术。采用视觉模拟评分法对痛经、非经期盆腔痛及性交痛量化评分。结果对60例子宫腺肌症患者术后随访6～24个月，其痛经、非经期盆腔痛或性交痛的症状均有明显改善，手术前后三者的评分变化差异均有显著性（P〈0．01），但术后各阶段之间的比较差异无显著性（P〉0．05）。患者满意率术后3个月为76．92％，术后24个月为69．23％。结论LUNA对缓解子宫腺肌症引起的痛经及慢性盆腔痛具有一定的疗效。 |
| 关 键 词： | 子宫神经去除术 子宫腺肌症 痛经 慢性盆腔痛 |
| 修稿时间： | 2007-11-26 |
The effects of laparoscopic uterine nerve ablation on pain of adenomyosis |
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| GUAN Zheng,ZHANG Zhuomei,GONG Tingyu,et al.. The effects of laparoscopic uterine nerve ablation on pain of adenomyosis[J]. Chinese Journal of Clinical Obstetrics and Gynecology, 2008, 9(2): 103-105 | |
| Authors: | GUAN Zheng ZHANG Zhuomei GONG Tingyu et al. |
| Affiliation: | GUAN Zheng, ZHANG Zhuomei, GONG Tingyu, et al. (Department of Obstetrics and Gynecology, PLA General Hospital, Beijing 100853, China) |
| Abstract: | Objective To evaluate the effects of laparoscopic uterine nerve ablation(LUNA)on dysmenor rhea,chronic pelvic pain and dyspareunia of adenomyosis.Methods The patients with adenomyosis underwent LUNA.Visual analog scales(VAS)were used to measure pain pre-and post-operatively.Results Sixty patients with adenomyosis treated by LUNA were followed up for 6~24 months.The score of dysmenorrhea,chronic pelvic pain and dyspareunia decreased significantly(P<0.01)after operation,but the scores at different time points of postoperative follow-up showed no difference(P>0.05).The satisfactory rates of patients were 76.92% 3 months after operation and 69.23% two years after.Conclusion LUNA is effective for relieving dysmenorrhea and chronic pelvic pain with adenomyosis. |
| Keywords: | LUNA adenomyosis dysmenorrhea chronic pelvic pain |
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