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。
Objective To evaluate the effects of horseshoe-shaped resection of uterine.Methods 23 cases of adenomyosis by the horseshoe-shaped 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（P0.05） 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（P0.05）,with satisfied sexual lives.Conclusion The horseshoe-shaped 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 non-reproductive requirements and wished to preserve their uterus,to get high quality of lives after surgeries.
出处
《中国实用医药》
2011年第23期7-8,共2页
China Practical Medicine
