子宫肌腺症的经典治疗方法为子宫切除术。1991年以来曾有三篇文献报道采用促性腺激素释放激素增效剂(GnRH-a)治疗严重子宫肌腺症可控制症状,并有一例自然流产及一例正常早期妊娠。本文报道首例GnRH-a治疗严重肌腺症后获足月活产。 患者36岁,孕2产0,继发不育10年,痛经和月经多进行,性加重2年前腹腔镜检查拟诊子宫肌瘤。盆 The classic treatment of adenomyosis hysterectomy. Three articles since 1991 reported that GnRH-a can control symptoms of severe adenomyosis and one case of spontaneous abortion and one case of normal early pregnancy. This article reports the first case of GnRH-a treatment of severe muscle adenosis after full-term live births. Patients 36 years old, 2 pregnant 0, 10 years of secondary infertility, dysmenorrhea and menstrual more sexual aggravating 2 years ago, laparoscopy diagnosed uterine fibroids. Pots