病灶切除术对子宫腺肌症患者妊娠及痛经的改善效果

杨波，赵芳仍

（中铁一局集团西安中心医院妇产科，陕西 西安，710054）

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摘要：

目的 探究病灶切除术对子宫腺肌症患者妊娠及痛经的改善情况。方法 回顾分析我院收治的80例行病灶切除术子宫腺肌症患者的临床资料，将其依据手术方式分为开腹组（59例）与腹腔镜组（21例），对比两组患者的治疗效果。结果 所有患者均手术成功，腹腔镜组患者的术中平均出血量明显少于开腹组，差异具有统计学意义（P<0.05）；月经量增加患者的术后缓解率为95.24%，痛经患者的术后缓解率为78.67%，不孕者术后妊娠率为64.52%。结论 针对于子宫腺肌症的患者，采取病灶切除术治疗可明显改善患者术前痛经、妊娠情况，且手术成功率高风险低，对此值得临床应用和推广。

关键词：子宫腺肌症；病灶切除术；痛经；妊娠

中图分类号：R713.4文献标志码：A文章编号：2096-1413(2017)30-0094-02

Lesion resection on improvement of pregnancy and dysmenorrhea in patients with uterine adenomyosis
YANG Bo, ZHAO Fang-reng
(Department of Obstetrics and Gynecology, Xi``an Central Hospital of China Railway First Group, Xi``an 710054, China)

ABSTRACT: Objective To investigate lesion resection on improve ment of pregnancy and dysmenorrhea in patients with uterine adenomyosis. Methods The clinical data of 80 patients with uterine adenomyosis underwent lesion resection in our hospital were retrospective analyzed, patients were divided into laparotomy group (59 cases) and laparoscopic group (21 cases) according to the surgical methods. The therapeutic effects of the two groups were compared. Results The operation of all patients were successful, the average intraoperative blood loss in the laparoscopic group was significantly less than that in the laparotomy group (P<0.05). The rate of postoperative remission of patients with menstrual flow increased was 95.24%,which of patients with dysmenorrhea was 78.67%, the postoperative pregnancy rate of patients with infertility was 64.52% . Conclusion Lesion resection in patients with uterine adenomyosis can significantly improve the preoperative dysmenorrhea and pregnancy situation of patients, which has high success rate and low risk, it is worthy of clinical application and promotion.
KEYWORDS: uterine adenomyosis; lesions resection; dysmenorrhea; pregnancy

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