摘要
目的:探讨子宫大部分切除术治疗子宫腺肌症的临床疗效。方法:选择子宫增大如孕2～3个月大小,且有明显痛经和(或)经量增多,无生育要求的子宫腺肌症患者34例,行子宫大部分切除并成形术,术后随访6～12个月,了解痛经和经量改善情况。结果:34例患者术后均有月经来潮,经量较前明显减少,切痛经症状明显改善。结论:子宫大部分切除术并成形术可以尽可能的切除子宫病变组织,重新成形的子宫能够保留部分子宫内膜和子宫血管,术后仍有月经来潮,但经量明显减少,痛经症状完全缓解或明显改善,保留宫颈和阴道穹隆,性生活维持术前状态。
Objective： To explore the clinical cm-ative effect of large partial excision of u- terine body for adenomyosis. Methods ： Chose 28 patients with adenomyosis, having serious dysmenorrheal, more nenstrual volume, in- crescent uterus just like being more than two to three - month - pregnancy for research, followed up the changes of dysmenorrheal, and dysmenorrhed of all patients improved obviously after the operation. Concluion ：The large partial excision of uterine body and metroplasty is an effective and safe therapy for adenomyosis, which may completely or partly release dysmenorrhoea and signifi- cantly improve the satisfaction of sexual life due to reserving partial endometrium, the u- terine artery, cervix and vaginal fornix.
