子宫大部分切除术治疗子宫腺肌症24例临床分析

目的探讨子宫大部分切除术治疗子宫腺肌症的临床疗效。方法选择子宫增大如孕2～3个月大小，且有明显痛经和／或经量增多，无生育要求的子宫腺肌症患者24例，行子宫大部分切除并成形术，术后随访6～12个月，了解痛经和经量改善情况。结果24例患者术后均有月经来潮，经量较前明显减少，且痛经症状明显改善。结论子宫大部分切除术并成形术可以尽可能的切除子宫病变组织，重新成形的子宫能够保留部分子宫内膜和子宫血管，术后仍有月经来潮，但经量明显较少，痛经症状完全缓解或明显改善，保留宫颈及阴道穹窿，性生活维持术前状态。

Clinical Analysis of 24 Cases On Large Partial Excision of Uterine Body for Adenomyosis Treatment

Objective To explore the clinical curative effect of large partial excision of uterine body for adenomyosis. Methods Chose 24 patients with adenomyosis, having serious dysmenorrhea, more menstrual volume, increscent uterus just like being more than two to three - month - pregnancy for research, followed up the changes of dysmenorrhea, and menstrual volume. Results All 24 patients have menses, and menstrual volume decreased obviously ; the dysmenorrhea of all patients improved obviously after the operation. Conclusion The large partial excision of uterine body and metroplasty is an effective and safe therapy for adenomyosis, which may completely or partly release dysmenorrhoea and significantly improve the satisfaction of sexual life due to reserving partial endometrium, the uterine artery, cervix and vaginal fornix.