腹腔镜下子宫动脉阻断术联合病灶切除术治疗子宫腺肌病的疗效观察

目的:探讨腹腔镜下子宫动脉阻断术联合病灶切除术治疗子宫腺肌病的临床疗效。方法:对50例子宫腺肌病患者行腹腔镜下子宫动脉阻断术联合病灶切除术治疗,对合并卵巢巧克力囊肿和盆腔子宫内膜异位症的患者同时行卵巢巧克力囊肿剥除术和盆腔子宫内膜异位病灶烧灼术,合并盆腔粘连者同时行粘连松解术,观察术后月经量、痛经程度、子宫体积等变化。结果:术后月经量减至术前的(47±17)%,30例(60%)痛经完全消失,13例(26%)痛经明显缓解,7例(14%)痛经部分缓解。术后疼痛评分和痛经分级比术前明显降低(P<0.01);子宫体积平均缩小42.8%。结论:腹腔镜下子宫动脉阻断术联合病灶切除术是一种易被患者接受的、有效、安全的治疗子宫腺肌病的新方法。

Observation on efficacy of laparoscopic uterine artery blockage combined with focus resection in treatment of adenomyosis

Objective:To explore the clinical efficacy of laparoscopic uterine artery blockage combined with focus resection in treatment of adenomyosis.Methods:50 patients with adenomyosis underwent laparoscopic uterine artery blockage combined with focus resection,for the patients with chocolate cyst of ovary and endometriosis,decollement of ovarian chocolate cyst and cauterization of endometriosis focus were performed;for the patients with pelvic adhesion,lysis of adhesion was performed.The changes of menstrual amount,degrees of dysmenorrhea and uterine volumes were observed .Results:After treatment,the menstrual amount reduced to (47±17)% of that before treatment;the proportions of complete,markedly and partial remission of dysmenorrhea were 60% (30 patients),26% (13 patients) and 14% (7 patients).The pain score and degrees of dysmenorrhea after treatment were lower than those before treatment (P<0.01).The average uterine volume decreased by 42.8%.Conclusion:Laparoscopic uterine artery blockage combined with focus resection is a novel,effective and safe method for the treatment of adenomyosis,which is also easily accepted by patients.