Laparoscopic excision of uterine adenomyomas
Laparoscopic excision of uterine adenomyomas
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DOI：
10.1016/j.fertnstert.2007.04.063
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发表时间：
2008-04-01
影响因子：
6.7
通讯作者：
Bontis, John N.
中科院分区：
文献类型：
--
作者：
Grimbizis, Grigoris F.;Mikos, Themistoklis;Bontis, John N.
目的：介绍一系列连续六名妇女子宫腺肌瘤谁成功地管理与标准的治疗策略，以阐明可行性和有效性腹腔镜治疗的子宫腺肌瘤。设计：横断面病例系列。设置（S）：妇产科的三级学术医院和内镜单位的私人医院。病人（S）：本报告中描述的6例病例均为育龄期非妊娠妇女平均年龄34.8岁;年龄范围29-38岁），在妇科门诊进行年度常规访视（1例患者），痛经和月经过多（3例患者），以及妊娠丢失史（2名患者）。干预（S）：腹腔镜子宫腺肌瘤切除术。主要结果测量（S）：腹腔镜子宫腺肌瘤治疗的可行性和有效性。结果（S）：平均手术时间为100.5分钟，平均估计失血量为163 mL。这些病例的术中和术后病程均无并发症，无病例转为剖腹手术。平均随访时间为13.7个月，症状完全消退。结论（S）：子宫腺肌瘤切除术的术中特点，涉及其解剖和操作的困难。腹腔镜治疗这些病变似乎是安全可行的，随访结果良好，复发率有限。（Fertil Steril（R）2008;89：953-61. (c)2008年，美国生殖医学会（American Society for Reproductive Medicine）
Objective: To present a series of six consecutive women with adenomyomas who were successfully managed with a standard treatment strategy to elucidate the feasibility and the effectiveness of laparoscopic treatment of adenomyomas.Design: Cross-sectional case series.Setting(s): Obstetrics and gynecology department of a tertiary academic hospital and endoscopic unit of a private hospital.Patient(s): The six cases described in this report were nonpregnant women of reproductive age (mean age, 34.8 years old; range, 29-38 years) who presented in the outpatient gynecological clinic for yearly routine visit (one patient), dysmenorrhea and menorrhagia (three patients), and history of pregnancy loss (two patients).Intervention(S): Laparoscopic excision of uterine adenomyomas.Main Outcome Measure(S): Feasibility and effectiveness of laparoscopic management of aderromyomas.Result(s): The average operating time was 100.5 minutes, and the average estimated blood loss was 163 mL. No event complicated the intraoperative and the postoperative course of these cases, and no case was converted to laparotomy. The mean follow-up was 13.7 months, with complete regression of the symptoms.Conclusion(S): Excision of adenomyomas presents intraoperative peculiarities involving difficulties in their dissection and manipulation. Laparoscopic management of these lesions appears to be safe and feasible with good follow-up results and limited recurrence rates. (Fertil Steril (R) 2008;89:953-61. (c) 2008 by American Society for Reproductive Medicine.)