| 摘要: |
| ［摘要］ 子宫腺肌病是指子宫内膜腺体和间质侵入子宫肌层所致的一种良性病变,以月经量过多、痛经和不孕为主要表现。对想保留子宫的腺肌病患者，单纯药物治疗效果不满意时，可选择保守性手术治疗，包括腺肌病病灶切除、子宫内膜及肌层切除、子宫肌层病灶电凝、手术联合药物治疗、盆腔去神经支配治疗、子宫动脉阻断、介入性治疗等。手术方式的选择要考虑患者的年龄、意愿、生育要求、病灶部位和范围及医生的手术技巧。该文对保守性手术治疗子宫腺肌病的现状作简要的综述。 |
| 关键词: 子宫腺肌病 保守性手术 应用现状 |
| DOI：10.3969/j.issn.1674-3806.2012.07.34 |
| 分类号:R 713.4 |
| 基金项目: |
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| Current application status of conservative surgery for the adenomyosis |
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WEI Jian-wei,ZHAO Ren-feng
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Department of Obstetrics and Gynecology, the First People′s Hospital of Hechi City,Guangxi 546300,China
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| Abstract: |
| ［Abstract］ Adenomyosis refers to one sort of benign lesion caused by the endometrial glands′ and stroma′s invasion into the myometrium, and its main performance is excessive menstrual flow, dysmenorrhea, and infertility. For the patients with adenomyosis who want to keep their uterus, if the effect of the simple drug treatment is not satisfied, they can choose a conservative surgery: including excision of the lesion of adenomyosis, endometrial and myometrial resection, electric coagulation of myometrial lesions, surgery combined with drug treatment, pelvic denervation therapy, the uterine artery occlusion, interventional treatment, etc. The choice of surgical methods depends on patient′s age, will, fertility requirements, the location and scope of the lesion and the doctor′s surgical skills. In this paper, the current application stutus of conservative surgery for adenomyosis is briefly reviewed. |
| Key words: Adenomyosis Conservative surgery Current application status |
