【摘要】 目的　探讨腹腔镜下子宫动脉阻断术治疗子宫腺肌病的临床疗效。方法　对 3 8例子宫腺肌病患者行腹腔镜下子宫动脉阻断术治疗 ,对合并有卵巢巧克力囊肿和盆腔子宫内膜异位症患者同时行卵巢巧克力囊肿剥除术和盆腔子宫内膜异位病灶烧灼术 ,合并有盆腔粘连 ,骶韧带明显增厚、缩短者同时行粘连分解和骶韧带离断术 ,术后观察月经量、痛经程度、子宫体积等变化。结果　术后月经量减至术前的 ( 5 6± 16) % ,有 17例 ( 4 4 7% )痛经完全消失 ,14例 ( 3 6 8% )疼痛明显缓解 ,6例 ( 15 8% )疼痛部分缓解 ,1例 ( 2 6% )无效。术后疼痛评分和痛经分级比术前明显降低 (P <0 0 1) ;子宫体积平均缩小 3 1 8%。结论　腹腔镜下子宫动脉阻断术治疗子宫腺肌病是一种安全、有效治疗子宫腺肌病的新方法 ,近期疗效显著 ,患者接受程度高。更多还原

【Abstract】 Objective To assess the clinical efficacy of laparoscopic uterine artery blockage for the treatment of adenomyosis. Methods Laparoscopic uterine artery blockage was performed in 38 patients with adenomyosis. Enucleation and excision or vaporization of endometriosis were performed at the same time in patients with chocolate cyst of ovary and endometriosis. Lysis of adhesion and presacral neurectomy were performed in some patients. Symptoms and uterine volumes of all patients were investigated after the treatment. Results Relieved clinical symptoms were found in all 38 patients. Menorrhagia was reduced to (56±16)%. Complete disappearance of dysmenorrhea was found in 17 patients (44.7%), significantly alleviated in 14 patients (36.8%), partially alleviated in 6 patients (15.8%), but ineffectiveness in 1 patient (2.6%). Pain score and classification were decreased significantly (P<0.01). The average uterine volume decreased by 31.8%. Conclusion Laparoscopic uterine artery blockage is an effective and safe method for the treatment of adenomyosis.更多还原