保留生育功能的子宫成形术治疗子宫腺肌病的临床研究

Clinial Study of Women’s Fertility-reserved Operation for Uterus Adenomyosis

目的探讨保留生育功能的子宫成形术治疗子宫腺肌病的可行性。方法选择2003年1月-2009年9月在枣庄市立医院住院治疗的有生育要求的子宫腺肌病患者156例,行保留生育功能的子宫成形术。观察手术质量及手术效果,并对术后妊娠情况及妊娠结局进行追踪随访。结果156例均手术成功。手术时间(63.22±18.76)min,术中出血量(90.36±22.87)ml,术后痛经缓解率100%;术后3年内复发4例,复发率2.56%;术后自然受孕率为42.3%;获足月新生儿18例,早产儿12例。结论保留生育功能的子宫成形术治疗子宫腺肌病疗效好,复发率低,术后妊娠率高,是治疗子宫腺肌病的理想方法。

Objective To investigate the feritility of the women’s fertility-reserved operation for uterus adenomysis.Methods The women’s fertility-reserved operations were performed on 156 inpatients for uterus adenomyosis from Jan 2003 to Sep 2009 who had the desire of pregnancy.The operation’s quality was analyzed and their gestational and outcomes were recorded.Results The operative time was （63.22±18.76）min and the volume of intraoperative bleeding was （90.36±22.87）ml.The postoperative follow-up was made for all the cases.156 cases of dysmenorrhea were cured.130 cases’ menstruation became less than before.There were 66 times of pregnancies in 58 patients.The pregnancy rate was 42.3%.Conclusion The women’s fertility-reserved operation was effective for uterus adenomyosis.The rate of recurrence was lower after the operation,and the rate of pregnancy was higher.This operation was a good method for treating uterus adenomyosis which had the desire of pregnancy.