期刊文献+

深部浸润型子宫内膜异位症38例临床病例分析 被引量:3

下载PDF
导出
摘要 目的:分析深部浸润型子宫内膜异位症的诊断及治疗方法。方法:回顾性分析笔者所在医院2008-2011年收治的38例深部浸润型子宫内膜异位症患者的临床资料,其中手术行直肠部分切除加端端吻合术7例(18.42%),行病灶切除31例(81.58%)。所有患者术后使用GnRHa类药物辅助治疗6个疗程。结果:治疗后对38例患者进行随访,显效29例(76.32%),有效6例(15.79%),无效3例(7.89%),并发症3例(7.89%)。治疗总有效率为92.11%。结论:手术联合药物治疗深部浸润型子宫内膜异位症临床疗效确切,但手术难度大,要求手术技巧高,需要多学科合作;手术需要经验丰富的高年资医师完成,以求彻底切除病灶,术后联合辅助药物治疗,以提高临床治疗效果。
机构地区 深圳市人民医院
出处 《中外医学研究》 2013年第1期125-126,共2页 CHINESE AND FOREIGN MEDICAL RESEARCH
  • 相关文献

参考文献8

二级参考文献84

  • 1冷金花,郎景和.子宫内膜异位症手术治疗的现状[J].中华妇产科杂志,2005,40(1):58-60. 被引量:80
  • 2成九梅,李伟,段华.手术辅以孕三烯酮治疗子宫内膜异位症40例分析[J].中国妇幼保健,2005,20(23):3069-3070. 被引量:19
  • 3冷金花,郎景和,赵学英,李华军,郭丽娜,崔全才.盆腔子宫内膜异位症病灶分布特点及其腹腔镜诊断准确性的评价[J].中华妇产科杂志,2006,41(2):111-113. 被引量:97
  • 4冷金花,郎景和,戴毅,李华军,李晓燕.子宫内膜异位症患者疼痛与盆腔病灶解剖分布的关系[J].中华妇产科杂志,2007,42(3):165-168. 被引量:79
  • 5Abbott JA, Hawe J, Clayton RD, et al. The effects and effectiveness of laparoscopic excision of endometriosis: a prospective study with 2-5 year follow-up [ J ]. Hum Reprod ,2003,18 : 1922-1927
  • 6Chapron C, Chopin N, Borghese B, et al. Surgical management of deeply infiltrating endometriosis : an update [ J ]. Ann N Y Acad Sci,2004,1034:326-337
  • 7Chopin N,Vieira M, Borghese B, et al. Operative management of deeply infiltrating endometriosis : results on pelvic pain symptoms according to a surgical classification [ J ]. J Minim Invasive Gynecol,2005,12 : 106-112
  • 8Garry R, Clayton R, Hawe J, et al. The effect of endometriosis and its radical laparoscopic excision on quality of life indicators[ J]. BJOG,2000,107:44-54
  • 9Chapron C, Jacob S, Dubuisson JB, et al. Laparoscopically assisted vaginal management of deep endometriosis infiltrating the rectovaginal septum [ J ]. Acta Obstet Gynecol Scand, 2001,80 : 349 -354
  • 10Donnez J, Nisolle M, Gillerot S, et al. Rectovaginal septum adenomyotic nodules : a series of 500 cases [ J ]. Br J Obstet Gynaecol, 1997,104 : 1014-1018

共引文献66

同被引文献40

  • 1王芬,曹云霞.女性生殖道畸形与子宫内膜异位症[J].中国妇幼健康研究,2007,18(4):328-330. 被引量:4
  • 2子宫内膜异位症的诊断与治疗规范[J].中华妇产科杂志,2007,42(9):645-648. 被引量:566
  • 3Giudiee LC. Clinical practice: endometriosis[J]. N Engl J Med. 2010, 362(25): 2389-2398.
  • 4Kim NY, Ryoo U, Lee DY, et al. The efficacy and tolerability of short-term low-dose estrogen-only add-back therapy during post operative GnRH agonist treatment for endometriosis[J]. Eur J Obstet Gynecol Reprod Biol, 2011, 154(1): 85-89.
  • 5Donnez J, Squifflet J. Laparoscopic excision of deep endometriosis [J]. Obstet GynecolClinNorthAm, 2004, 31(3): 567-580.
  • 6Anal V, Simon P, El Nakadi I, et al. Relationship between endometriotic loci and nerves in rectovaginal endometriotic nodules [J]. HumReprod, 2000, 15(8): 1744-1750.
  • 7Revised American Fertility Society classification of endometriosis: 1985[J]. FertilSteril, 1985, 43(3): 351-352.
  • 8Carmona F1, Martinez-Zamora A, Gonzdlez X, et al. Does the learning curve of conservative [aparoscopic surgery in women with rectovaginal endometriosis impair the recurrence rate? [J]. Fertil Steril, 2009, 92(3): 868-875.
  • 9Vercellini P, Pietropaolo G, De Giorgi O, et al. Reproductive performance in infertile women with rectovaginal endometriosis: is surgery worthwhile? [J]. Am J Obstet Gynecol, 2006, 195(5): 1303-1310.
  • 10Vercellini P1, Crosignani PG, Abbiati A, et al. The effect of surgery for symptomatic endometriosis: the other side of the story [J]. HumReprod Update, 2009, 15(2): 177-188.

引证文献3

二级引证文献87

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部