腹腔镜外科杂志2012,Vol.17Issue(6):467-469,3.
腹腔镜子宫腺肌瘤切除术的临床体会
Clinical experience of laparoscopic adenomyoma resection
胡红文 1李寅 1邢小芳 1胡继林1
作者信息
- 1. 云南省第三人民医院,云南昆明,650031
- 折叠
摘要
Abstract
Objective;To discuss the eiTect.safety and value of laparoscopic adenomyoma resection combined with gestrinone or triptorelin. Methods:Forty-six patients who suffered from menorrhagia.bradymenorrhea.algomenorrhea or infertility and diagnosed as adenomyoma by gynecological examination and B-ultrasound underwent laparoscopic adenomyoma resection,then accepted postoperative treatment of gestrinone or triptorelin. All patients desired to reserve their uteri. Results ? Forty-four patients underwent successful laparoscopic adenomyoma resection. No lesions were found in 2 patients. In the 44 cases,the mean time of surgery was (65.1 ±5. 3) min,av? erage blood loss was (50.3 ±4.6) ml,average time of evacuation was (10 ±4. 3) h,and average time of postoperative hospital stay was 5 d. After operation, 12 cases were given gestrinone and 32 cases triptorelin. The postoperative remission rate of dysmenorrhea was above 86.7% and improvement of menstruation was 97.4% in the 44 cases. Conclusions: Laparoscopic adenomyoma resection combined with gestrinone or triptorelin for adenomyoma can effectively relieve symptoms,reduce recurrence,and preserve patients' reproductive organs.关键词
子宫腺肌病/腹腔镜检查/治疗结果Key words
AdenomyosisjLaparoscopy/Treatment outcome分类
医药卫生引用本文复制引用
胡红文,李寅,邢小芳,胡继林..腹腔镜子宫腺肌瘤切除术的临床体会[J].腹腔镜外科杂志,2012,17(6):467-469,3.