【摘 要】
：
目的 探讨弥漫性重症子宫腺肌症病灶完全剔除保留生育功能新术式联合GnRHa药物治疗的疗效.方法 对15例弥漫性重症子宫腺肌症患者行剖开子宫腺肌症病灶完全剔除并子宫成形术,手术前后应用GnRHa6个月,随访5～16个月,评估疗效.结果 15例患者年龄29 ～ 42岁,平均年龄35.5 ±1.5岁;均有进行性痛经2年以上,重度疼痛13例;月经量增多并继发贫血者5例;一侧或双侧卵巢巧克力囊肿者5例;伴不
【机 构】
：
河北医科大学第二医院 北京大学深圳医院
【出 处】
：
中华医学会第七次全国生殖医学学术会议
论文部分内容阅读
目的 探讨弥漫性重症子宫腺肌症病灶完全剔除保留生育功能新术式联合GnRHa药物治疗的疗效.方法 对15例弥漫性重症子宫腺肌症患者行剖开子宫腺肌症病灶完全剔除并子宫成形术,手术前后应用GnRHa6个月,随访5～16个月,评估疗效.结果 15例患者年龄29 ～ 42岁,平均年龄35.5 ±1.5岁;均有进行性痛经2年以上,重度疼痛13例;月经量增多并继发贫血者5例;一侧或双侧卵巢巧克力囊肿者5例;伴不孕9例.子宫如妊娠12 ～ 14周大小8例、妊娠8～11周大小5例、7周大小2例;B超检查示子宫增大,7 ×7 ×5 ～8.5 ×9 ×7cm,肌层均见不均质增厚4～6cm,并见一个或多个腺肌瘤,腺肌瘤直径在3.5 ～9er; 13例血清CA125升高,最高者279.73IU/ML.
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