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目的评估腹腔镜下改良子宫腺肌瘤剔除术的疗效及对妊娠的影响。方法对48例子宫腺肌瘤患者行腹腔镜下改良子宫腺肌瘤剔除术,并对患者进行随访,评估手术疗效。结果 48例子宫腺肌瘤患者,术中平均出血80 ml。手术时间平均90 min。术后平均住院5 d。术后随访时间为12~36个月。32例痛经消失,16例在术后8~15个月痛经再次出现,但程度减轻。痛经对比手术前后,差异有统计学意义(P<0.01)。5例月经量增多者术后经量均正常,其余月经量均无明显改变,差异无统计学意义(P>0.05)。8例有生育要求的患者3例妊娠足月后选择剖宫产终止妊娠。结论改良后的腹腔镜下子宫腺肌瘤剔除术具有出血少,创伤小,缓解症状明显,疗效满意的优点
Objective To evaluate the efficacy of laparoscopic modified adenomyosis and its effect on pregnancy. Methods Forty-eight patients with adenomyosis underwent laparoscopic retrofit adenomyosis. The patients were followed up to evaluate the curative effect. Results 48 cases of adenomyosis, with an average intraoperative bleeding of 80 ml. The average operation time was 90 minutes. The average postoperative hospital stay 5 d. Postoperative follow-up time was 12 to 36 months. 32 cases of dysmenorrhea disappeared, 16 cases in 8 to 15 months after the dysmenorrhea again, but to a lesser extent. Dysmenorrhea comparison before and after surgery, the difference was statistically significant (P <0.01). 5 cases of menstruation increased by postoperative menstrual volume were normal, the remaining menstrual flow no significant change, the difference was not statistically significant (P> 0.05). 8 cases of patients with fertility requirements 3 cases of cesarean section after pregnancy termination of pregnancy. Conclusion The modified laparoscopic myomectomy has the advantages of less bleeding, less trauma, obvious symptom relief and satisfactory curative effect