子宫腺肌症保守性手术疗效观察

Therapeutic Effect of Conservative Surgery for Adenomyosis

目的对保守性手术应用于子宫腺肌症患者临床治疗中取得的疗效进行观察。方法收集医院2016年5月-2019年2月收治的33例子宫腺肌症患者资料回顾分析,其中20例给予保守性手术治疗方法,纳入观察组,取同期收治的常规药物治疗患者13例纳入对照组,对两组患者临床治疗效果观察,并比较治疗后患者相关指标。结果观察组及对照组痛经发生率分别为5.00%(1/20)、38.46%(5/13)组间对比治疗有效率差异具有统计学意义。子宫大小对比明显缩小,月经量正常,CA125下降明显,差异有统计学意义。结论保守性手术治疗方法应用于子宫腺肌症患者中,可取得疗效,且各项临床症状指标均有一定程度的改善,可作为要求保留子宫的子宫腺肌症患者的治疗方案之一。

Objective To observe the curative effect of conservative surgery in the clinical treatment of patients with adenomyosis.Methods A retrospective analysis of 33 patients with adenomyosis admitted to the hospital from May 2016 to February 2019 was conducted.20 patients were given conservative surgical treatment and included in the observation group.13 patients were treated with conventional drugs for the same period.In the control group,the clinical treatment effects of the two groups of patients were observed,and the relevant indicators of the patients after treatment were compared.Results The incidence of dysmenorrhea in the observation group and the control group were 5.00%(1/20)and 38.46%(5/13),respectively.The size of the uterus was significantly reduced,the amount of menstruation was normal,and the difference in CA125 was statistically significant.Conclusion Conservative surgical treatment is effective in the treatment of patients with adenomyosis,and the clinical symptoms are improved to some extent.It can be used as one of the treatment options for patients with adenomyosis requiring uterine retention.