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目的:研究子宫肌腺病在实施保守手术治疗后,对于病人症状的改善以及妊娠几率增加的情况。方法:收集子宫肌腺病患者共10例,随机将其分为观察组和对照组,各5例。观察组实行子宫肌腺瘤剔除术;对照组使用子宫肌腺病部分病灶切除术。2例原发不孕,1例继发不孕,3例习惯性流产。结果:有4例子宫肌腺瘤病灶全部挖除干净。2例弥漫性子宫肌腺病,尚未完全切除干净,只能使用大部病灶切除。手术前痛经的患者有1例,痛经情况在术后明显好转或完全消失,重度痛经发生率远远低于术前痛经(P<0.05)。原来有术前痛经患者3例,手术过后经血过多的患者降至1例(P<0.05)。在5例接受过子宫肌腺瘤剔除术的患者中,有2例复发。结论:对于年轻且有生育要求的子宫肌腺瘤患者而言,建议使用保守手术进行治疗,因为保守手术能够有效增加妊娠概率,很好的改善病症。而弥漫性子宫肌腺病保守手术的妊娠率相对较低,可还是具有一定的治疗效果。
OBJECTIVE: To study the improvement of symptoms and the increased probability of pregnancy in patients with adenomyosis after conservative surgery. Methods: A total of 10 patients with adenomyosis were collected and randomly divided into observation group and control group, with 5 cases each. The observation group was treated with adenomyosis of the uterus; the control group was treated with partial lesion resection of adenomyosis. 2 cases of primary infertility, 1 case of secondary infertility, 3 cases of habitual abortion. Results: 4 cases of myomectomy lesions were completely excised. 2 cases of diffuse uterine adenomyosis, not yet completely removed, only use most lesions removed. 1 case of dysmenorrhea before operation, dysmenorrhea in the postoperative significantly improved or completely disappeared, the incidence of severe dysmenorrhea was much lower than preoperative dysmenorrhea (P <0.05). There were 3 patients with preoperative dysmenorrhea, and the number of menorrhagia after surgery decreased to 1 (P <0.05). Of the 5 patients who underwent adenomyosis, 2 had recurred. CONCLUSIONS: For young and fertile uterine adenoma patients, conservative surgery is recommended because conservative surgery can effectively increase the probability of pregnancy and improve the condition. The diffuse uterine adenomyosis conservative surgery, the pregnancy rate is relatively low, may still have a certain therapeutic effect.