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目的:研究腹腔镜下子宫腺肌病病灶切除术及宫骶韧带切断术治疗子宫腺肌病引起疼痛的效果。方法:2004年4月~2005年8月对北大医院13例子宫腺肌病患者行腹腔镜下子宫腺肌病病灶切除加宫骶韧带切断术,随访术后病人的痛经缓解情况,月经量、腹痛、性交痛情况进行对比研究。结果:术前13例患者痛经均消失或者明显减轻,术后重度痛经的发生率明显低于术前,术前6例合并慢性腹痛患者,术后亦得到减轻。随访最长为15月。无明显复发。结论:腹腔镜下宫骶韧带切断术治疗子宫腺肌病可以明显改善症状。
Objective: To study the effect of laparoscopic resection of adenomyosis and uterosacral ligament resection for the treatment of adenomyosis. Methods: From April 2004 to August 2005, 13 patients with adenomyosis at Peking University Hospital underwent laparoscopic resection of adenomyosis and uterosacral ligament resection. The pain relief, menstrual flow, Abdominal pain, pain situation of intercourse comparative study. Results: All patients had dysmenorrhea disappeared or significantly reduced before operation. The incidence of postoperative severe dysmenorrhea was significantly lower than that before operation. Six patients with chronic abdominal pain before operation were also relieved after operation. Follow-up up to 15 months. No significant recurrence. Conclusion: Laparoscopic uterosacral ligament resection of adenomyosis can significantly improve the symptoms.