子宫体三角形切除治疗子宫腺肌病的临床观察

目的探讨子宫体三角形切除对子宫腺肌病的治疗效果。方法对2007年2月至2011年2月需行手术治疗的子宫腺肌病患者95例，按入院时间分为子宫体三角形切除（研究组）48例和次全子宫切除（对照组）47例，比较两组术中情况、手术前后性激素水平，术后性生活质量，B超探测子宫卵巢体积。结果研究组手术时间、术中出血量、痛经症状与对照组比较差异无统计学意义（P〉0．05），手术前、后激素水平、性生活质量，研究组无明显变化，对照组术后激素水平下降，比较差异有统计学意义（P〈0．01）。结论研究组保留了子宫及卵巢的血供，不影响卵巢功能，且有效治疗子宫腺肌病，‘临床效果满意，是手术治疗子宫腺肌病的首选方法。

Excision of uterine body triangle clinical observation on the treatment of adenomyosis

Objective To explore the resection of uterine body triangle for adenomyosis treatment effect. Methods 2007 February to 2011 February to need operation treatment uterine gland muscle in 95 pa- tients, according to admission time divided resection for uterine body triangle （ study group） and 48 cases of subtotal hysterectomy （control group） 47 cases, were compared in two groups, serum sex hormone levels after operation, postoperative quality of life B ultrasound, uterine and ovarian volume detection. Results There was no significant difference in comparison of operation time, bleeding volume, group of symptoms and the patients in the control group （P 〉 0. 05）, operation, hormone level, ＂quality of life, the study group had no significant changes in control group, postoperative hormone levels decline. Conclusion The study group retained the u- terine and ovarian blood supply, does not affect ovarian function, and effective in the treatment of adenomyosis, satisfactory clinical efficacy, is the preferred method of operation in treatment of adenomyosis.