论文部分内容阅读
目的探讨腹腔镜下子宫腺肌病病灶挖除联合子宫动脉钛夹阻断术治疗的临床价值。方法 2006年2月至2008年2月在中山市人民医院观察分析67例子宫腺肌病资料,其中行腹腔镜下子宫腺肌病病灶挖除+子宫动脉钛夹阻断术36例(A组);行子宫腺肌病病灶挖除术31例(B组)。术前、术后记录评价患者痛经、子宫体积、月经量及贫血情况等变化。结果两组痛经症状均有较高缓解率(分别为92.3%,87.5%),差异无统计学意义(P>0.05)。A组子宫体积术前为(177±30)cm3,术后3个月缩小为(132±31)cm3;B组子宫体积术前为(178±35)cm3,术后3个月缩小为(158±28)cm3,两组子宫体积大小与术前差异有统计学意义(P<0.05);两组术后月经量均较前减少,术后6个月开始两组月经量差异有统计学意义(P<0.05)。结论腹腔镜下子宫腺肌病病灶挖除联合子宫动脉钛夹阻断术是一种安全、有效的治疗子宫腺肌病的新方法 。
Objective To investigate the clinical value of laparoscopic adenomyosis and excision of uterine artery with titanium clip occlusion. Methods From February 2006 to February 2008, 67 cases of adenomyosis were observed and analyzed in Zhongshan People ’s Hospital. Thirty - six cases of laparoscopic adenomyosis and titanium clip occlusion of uterine artery were performed in group A ); 31 cases of adenomyosis lesions excision (group B). Preoperative and postoperative records of patients with dysmenorrhea, uterine volume, menstrual flow and anemia and other changes. Results The symptoms of dysmenorrhea were higher in both groups (92.3% and 87.5% respectively), with no significant difference (P> 0.05). The volume of uterus in group A was (177 ± 30) cm3 preoperatively and was reduced to (132 ± 31) cm3 three months after operation. The volume of uterus in group B was (178 ± 35) cm3 preoperatively and was reduced to ( 158 ± 28) cm3, there was a significant difference between the two groups in the size of the uterus and the preoperative (P <0.05). The postoperative menstrual flow in both groups decreased compared with the previous period. The difference of menstrual flow between the two groups began to be statistically significant Significance (P <0.05). Conclusion laparoscopic adenomyosis lesions combined with uterine artery titanium clip occlusion is a safe and effective new method for the treatment of adenomyosis.