子宫大部分切除术治疗子宫腺肌病的临床研究
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[摘要] 目的 探讨年轻的子宫腺肌病患者(≤40岁)保留子宫的手术方式。方法 通过对78例子宫腺肌病病人进行荷包式缝合法子宫大部分切除子宫成形术(观察组),并选择同期因子宫腺肌病入院行全子宫切除术60例(对照组),比较术后患者对性生活评价。结果 观察组术后性生活改善有效率为97.4%,对照组有效率为80.0%,差异有统计学意义(P<0.01)。结论 荷包式缝合法子宫大部切除术后子宫成形术,手术方法简单,止血效果可靠,重新成形的子宫能够保留子宫部分内膜和子宫动脉上行支,痛经完全缓解或基本缓解,术后仍有少量月经,保留宫颈及阴道穹窿部,明显改善及提高夫妻双方性生活满意度。
[关键词] 子宫内膜异位症; 子宫内膜; 子宫切除术; 痛经
[中图分类号] R713.4+2;R711.71 [文献标识码] A [文章编号] 1673-9701(2010)03-126-02
Large Partial Excision of Uterine Body for Adenomyosis
ZHANG Wenying WANG Xiaoping LI Ping
Department of Gynecology,Pingdu City People’s Hospital,Pingdu266700,China
[Abstract] ObjectiveTo investigate surgical methods of reserving partial uterus in young patients(≤40 years)with adenomyosis. Methods Seventy-eight patients of the study group received large partial excision of uterine body and metroplasty by purse-string suture, and 60 patients of the control group received total hysterectomy ......
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