腹式子宫腺肌病病灶切除术联合子宫动脉阻断术治疗子宫腺肌病76例临床观察

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Abstract Objective To compare the effect between trans-abdominal adenomyomectomy and trans-abdominal adenomyomectomy combined with uterine artery blockage（UAB）in the treatment of patientswith uterine adenomyosis.Methods 76 patients diagnosed with circumscribed adenomyosis from March 2013 to November 2014 in our hospital were selected as the research group，all of the enrolled patients requested to preserve their reproductive function.All patients were randomly divided into the control group and the observation group，38 cases in each group.The control group was treated with trans-abdominal adenomyomectomy，the observation group was treated with trans-abdominal adenomyomectomy combined with UAB.The related clinical indexes of the two groups after operation at 3，6，12monthswas compared，and the efficacy of the trans-abdominal adenomyomectomy combined with UAB was evaluated.Results The post-operative VASscores of dysmenorrheal in the observation group was lower than that in the control group，with significant difference（P＜0.01）.The remission rate of dysmenorrhea in the observation group was higher than that in the control group，with significant difference　（P＜0.05）.The ineffective or exacerbation rate of dysmenorrhea in the observation group was lower than that in the control group，with significantdifference　（P＜0.05）.The recurrence rate of the observation group was lower than that of the control group，with significant difference（P＜0.05）.The incidence rate ofmenstrual blood loss in the observation group was higher than that in the control group，with significant difference　（P=0.03）.The level of AMH after operation at 3，6 months in the observation group was lower than that in the control group，with significant difference（P＜0.05）.There was no significant difference in the level of AMH after operation at 12months between the two groups（P＞0.05）.Conclusion Trans-abdominal adenomyomectomy combined with UAB has satisfying effectiveness and has no reverse impact on ovarian function.Comparing with simple trans-abdominal adenomyomectomy，it has a superior efficacy in extinguishing and relieving dysmenorrhea，reducingmenstrual blood loss and recurrent rate within one year after surgery.This surgery has good feasibility in primary hospitals because of itsmoderate technical difficulty.

Key words： Adenomyosis Uterine artery blockage surgery Gynecologic surgical surgery Conservative surgery

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	Articles by authors
	LILi-jing
	QIU Yang
	HUANGMing-jun

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LILi-jing,QIU Yang,HUANGMing-jun. Clinical observation of the trans-abdom inal adenom yomectom y combined with uterine artery blockage in the treatment of 76 patients with uterine adenom yosis[J]. 中国当代医药, 2016, 23(26): 64-67.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2016/V23/I26/64

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