期刊文献+

子宫腺肌病及其保守性手术治疗 被引量:22

Conservative surgical management for uterine adenomyasis
原文传递
导出
摘要 子宫腺肌病(adenomyosis,AM)多发生于30~50岁之间的妇女,造成严重的痛经、慢性盆腔痛、经量增多及不孕等,严重影响患者的生存质量。子宫切除术是根治性的治疗方法。保守性手术治疗包括子宫腺肌瘤楔形切除术及宫腔镜子宫内膜及子宫腺肌病病灶电切术的局部病灶切除和子宫动脉结扎术、腹腔镜子宫骶神经切断术、骶前神经切断术。恰当的手术方式应根据患者的年龄、症状、有无生育要求、病变部位及范围而决定。多种治疗方式相结合,对于提高手术疗效、缓解症状有重要的作用。 Adenomyosis, usually in women in their late fourth and fifth decades. It causes severe dys- menorrhea, chronic pelvic pain, increased menstrual volume, and infertility, which all seriously interfere with patients' quality of life. For decades, hysterec- tomy was the only therapeutic option available to women with adenomyosis. The last two decades wit- ness a considerable accumulation of information on therapeutic options other than hysterectomy for ade- nomyosis. Conservative surgeries include myometrial excision,endometrial ablation/resection via hysteros- copy, uterine artery ligation, laparoscopic uterosacral nerve ablation and presacral neurectomy, are at the surgeong disposal. Patient's age and symptoms,de- sired fertility, site and extent of lesion and surgeon's skills should be considered in choosing the appro^ri-ate procedure. Various therapeutic options for adeno- myosis,combination of procedures becomes available in the last decades and need evaluation and improve- ment.
出处 《中国实用妇科与产科杂志》 CAS CSCD 北大核心 2013年第1期26-28,共3页 Chinese Journal of Practical Gynecology and Obstetrics
关键词 子宫腺肌病 保守性手术 adenomyosis conservative surgery
  • 相关文献

参考文献12

  • 1吕嬿,冷金花,戴毅,史精华,郎景和.腹腔镜保守手术治疗子宫腺肌瘤疗效观察[J].中国实用妇科与产科杂志,2011,27(10):753-756. 被引量:33
  • 2关铮,张卓梅,宫庭钰,李亚里,周应芳,冷金花,段华,张震宇.子宫神经去除术治疗子宫腺肌症疼痛的临床观察[J].中国妇产科临床杂志,2008,9(2):103-105. 被引量:10
  • 3冷金花,郎景和.子宫腺肌病的手术治疗[J].实用妇产科杂志,2006,22(1):10-12. 被引量:108
  • 4Michael Levgur.Therapeutic options for adenomyosis: a review[J].Archives of Gynecology and Obstetrics.2007(1)
  • 5McCausland V,McCausland A.The response of adenomyosis to endome-trial ablation /resection[].Human Reproduction Update.1998
  • 6Juan, Chou,Yen, et a1.Laparoscopic utero saeral nerve ablation with and without presacral neurectomy in the treatment of Pri.mary dysmenonhea:a prospective efficacy analysis[].Reproductive Medicine Review.2007
  • 7Morita M,,Asakawa Y,Nakakuma M,et al.Laparoscopic exci-sion of myometrial adenomyomasin patients with adenomyosis uteri and main symptoms of severe dysme norrhea and hypermenorrhea[].The Journal of The American Association of Gynecologic Laparoscopists.2004
  • 8Quemere MP,Cravello L,Roger V,et al.Impact of adenomyosis on results of endometrial ablations[].Contraception Fertilite Sexualite.1999
  • 9Benagiano G,Brosens I.The endometrium in adenomyosis[].Women and Health.2012
  • 10Wang PH,Liu WM,Fuh JL,et al.Comparison of surgery alone and combined surgical-medical treatment in the management of symptomatic uterine adenomyoma[].Fertility and Sterility.2009

二级参考文献26

  • 1Kim MD,Won JW,Lee DY,et al.Uterine artery embolization for adenomyosis without fibroids.Clin Radiol,2004,59:520-526.
  • 2Wood C,Maher P.Laparoscopic hysterectomy.Bailliere's Clin Obstet Gynecol,1997,11,111-136.
  • 3Proctor M,Latthe P,Farquhar C,et al.Cochrane Database Syst Rev.2005 Oct 19;(4):CD001896.
  • 4Wood C.Surgical and medical treatment of adenomyosis.Hum Repros Update,1998,4:323-336.
  • 5[2]Levgur M.Diagnosis of adenomyosis:a review.J Reprod Med,2007,52:177-193.
  • 6[3]Tzafettas J.Painful menstruation.Pediatr Endocrinol Rev.2006,Suppl 1:160-163.
  • 7[4]Quinn M.Uterine innervation in adenomyosis.J Obstet Gynaecol,2007,27:287-291.
  • 8[5]Latthe PM,Powell RJ,Daniels J,et al.Variation in practice of laparoscopic uterosacral nerve ablation:a European survey.J Obstet Gynaecol,2004,24:547-551.
  • 9[6]Johnson NP,Farquhar CM,Crossley S,et al.A double-blind randomized controlled trial of laparoscopic uterine nerve ablation for women with chronic pelvic pain.BJOG,2004,111:950-959.
  • 10[7]French L.Dysmenorrhea.American Family Physician,2005,71:285-292.

共引文献142

同被引文献241

引证文献22

二级引证文献114

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