Hysteroscopic excision of symptomatic myometrial adenomyosis: feasibility and effectiveness

被引：14
|
作者：
Xia, W. [1 ,2 ]
Zhang, D. [1 ,2 ]
Zhu, Q. [1 ,2 ]
Zhang, H. [1 ,2 ]
Yang, S. [1 ,2 ]
Ma, J. [1 ,2 ]
Pan, H. [1 ,2 ]
Tong, T. [1 ,2 ]
Sun, J. [3 ]
Zhang, J. [1 ,2 ]
机构：
[1] Shanghai Jiao Tong Univ, Sch Med, Int Peace Matern & Child Hlth Hosp, Dept Obstet & Gynecol, Shanghai, Peoples R China
[2] Shanghai Jiao Tong Univ, Sch Med, Inst Embryofetal Original Adult Dis, Shanghai, Peoples R China
[3] Tongji Univ, Sch Med, Shanghai Matern & Infant Hosp 1, Dept Obstet & Gynaecol, Shanghai, Peoples R China
来源：
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY | 2017年 / 124卷 / 10期
关键词：
Adenomyosis; dysmenorrhoea; hysteroscope; menorrhagia;
D O I：
10.1111/1471-0528.14673
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
Objective To explore the feasibility and efficacy of hysteroscopic excision of myometrial adenomyotic lesions. Design A case-series study. Setting A university medical centre. Population 51 women with myometrial adenomyosis completed the study. Methods The patients underwent hysteroscopic excision of myometrial adenomyosis and were followed up for 24 months. The degree of symptoms, uterine volume, and serum CA125 concentrations were recorded. The degrees of menorrhagia and dysmenorrhea were evaluated. Results The mean MVJ and VAS score significantly decreased from the baseline. The uterine volume and the serum CA125 significantly reduced. Conclusions Hysteroscopic excision of myometrial adenomyotic lesions is feasible and may be effective in improving symptoms.
引用
收藏
页码：1615 / 1620
页数：6
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