Efficacy of laparoscopic adenomyomectomy using double-flap method for diffuse uterine adenomyosis.
Efficacy of laparoscopic adenomyomectomy using double-flap method for diffuse uterine adenomyosis.
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腹腔镜双瓣法子宫腺肌瘤切除术治疗弥漫性子宫腺肌病的疗效
DOI：
10.1186/s12905-015-0182-5
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发表时间：
2015
期刊：
影响因子：
--
通讯作者：
Zhang X
中科院分区：
文献类型：
--
作者：
Huang X;Huang Q;Chen S;Zhang J;Lin K;Zhang X
子宫腺肌瘤切除术近年来被认为是治疗子宫腺肌病的首选方案，但其手术效果和方式仍存在争议。我们的目的是与传统腹腔镜子宫腺肌瘤切除术相比，评估双瓣法腹腔镜子宫腺肌瘤切除术治疗子宫弥漫性子宫腺肌病的疗效。腹腔镜下子宫腺肌瘤切除术分别采用常规法（A组，n = 48）和双瓣法（B组，n = 46）治疗弥漫性子宫腺肌症。比较分析两组的视觉模拟量表（VAS）、月经量、血清CA125水平、子宫体积。 B组术后12、24个月VAS评分、月经量、血清CA125水平、子宫体积均较A组显着降低（P < 0.05）；与术前相比，两组患者术后这些参数均显着下降（P<0.001）。此外，随访6个月时B组血清CA125水平和子宫体积显着低于A组（P < 0.01）。此外，A组和B组术中失血量相似（P > 0.05），但B组手术时间明显长于A组（P < 0.05）。双瓣法腹腔镜子宫腺肌瘤切除术可能是治疗子宫弥漫性子宫腺肌病的有效技术。
Adenomyomectomy has recently been considered the priority option for the treatment of adenomyosis, however, the surgical efficacy and modes are still debated. We aimed to evaluate the efficacy of laparoscopic adenomyomectomy using a double-flap method for the treatment of uterine diffuse adenomyosis when compared with conventional laparoscopic adenomyomectomy. Laparoscopic adenomyomectomy using the conventional method (group A, n = 48) and the double-flap method (group B, n = 46) to treat diffuse uterine adenomyosis, respectively. Visual analog scale (VAS), menstrual amount, serum CA125 levels, and uterine volume were comparatively analyzed in both groups. The VAS scores, menstrual amount, serum CA125 levels, and uterine volume at 12 or 24 months after surgery significantly reduced in group B than in group A (P < 0.05); these parameters were statistically decreased in both groups after surgery compared with those obtained before surgery (P < 0.001). Moreover, serum CA125 levels and uterine volume at six months of follow up were significantly lower in group B than in group A (P < 0.01). In addition, blood loss during surgery was similar in groups A and B (P > 0.05), although the operative time was significantly longer in group B than that in group A (P < 0.05). Laparoscopic adenomyomectomy using the double-flap method may be an effective technique to treat uterine diffuse adenomyosis.
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影响因子：
1.6
作者：
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作者：
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Hanafi M
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Seong SJ