子宫马蹄形切除术23例临床分析(1)
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【摘要】 目的 评估子宫马蹄形切除术的临床效果。方法 对23例子宫腺肌病患者经腹子宫马蹄形切除术治疗，术后观察患者痛经程度、月经周期、贫血情况及性生活情况。结果 术后1个月共有8例(占78%)症状消失或明显缓解，术后3个月有20例(占86%)症状消失，经量少，无潮热，性生活正常，术后6个月17例(占73%)症状消失，术后12月随访，20例症状消失，3例明显缓解(100%)。12例月经过多患者术后经量明显减少(P<0.05)，月经周期和经期无明显改变(P>0.05),4例贫血患者术后3个月血红蛋白较术前明显升高(P<0.05)，性生活满意。结论 经腹子宫马蹄形切除术治疗子宫腺肌病疗效确切，手术安全，性生活不受影响，对于无生育要求、希望保留子宫、对生活质量要求高的患者，是一种较好的手术选择。
【关键词】
子宫腺肌病；经腹；子宫马蹄形切除术
Clinic analysis of 23 cases with horseshoeshaped resection of uterine
YANG Lin, WANG Hongning. The Obstetrics Hospital of Zongnan,Chengdu 610041,China
【Abstract】 Objective
To evaluate the effects of horseshoeshaped resection of uterine. Methods 23 cases of adenomyosis by the horseshoeshaped resection of abdominal hysterectomy, patients were observed on the degrees of dysmenorrhea, menstrual cycles, anemia and sexual lives.Results After 1 month,there were 8 cases (78%) reported symptoms disappeared or significantly alleviated.20 patients (86%) were reported having less symptoms, no hot flashes, with normal sex lives 3 months later.17 patients (73%) were reported symptoms disappeared 6 month later.In a 12 month follow up, 20 patients with symptoms disappeared were observed and 3 cases were relieved (100%).12 cases of menorrhagia patients relieved significantly(P<0.05) and no significant changes were founded in menstrual cycles and in periods (P> 0.05).4 cases of anemia showed significantly increase of preoperative hemoglobin rates 3 months later (P<0.05), with satisfied sexual lives. Conclusion The horseshoeshaped resection of abdominal hysterectomy for uterine adenomyosis is effective, surgical safety, with the sexual life not being affected. It is a better choice for patients who have nonreproductive requirements and wished to preserve their uterus, to get high quality of lives after surgeries.
【Key words】
Adenomyosis; Abdominal; Uterine resection of horseshoe
作者单位：610041四川省成都棕南妇科医院
子宫腺肌病多发生于40岁以上经产妇，临床表现主要是经量多，经期延长(40%~50%)，以及逐渐加剧的进行性痛经(25%)，部分患者性欲减退，15%~40%患者合并内异症1]，导致盆腔粘连，传统经腹子宫切除术，损伤周围脏器、大出血等可能增加，同时，由于人们对生活质量的要求越来越高，虽无再生育要求，但要求保留子宫的患者越来越多，为了寻找一种既能缓解症状又能保留子宫的方法，我们开展了经腹子宫马蹄形切除术，治疗子宫腺肌症23例，现将结果报告如下。
1 资料与方法
1.1 一般资料 2007年6月至2009年6月，因子宫腺肌病在我院行经腹子宫马蹄形切除术共23例 ......
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