Bousquet M C, Canis M, Bruhat M A
Service de gynécologie-obstétrique et reproduction humaine, Hôtel-Dieu, Polyclinique Philippe-Marcombes, Clermont-Ferrand.
Rev Prat. 1999 Feb 1;49(3):282-6.
Adenomyosis keeps a strange and unknown feature. Indeed, therefore of an unclear physiopathology, the difficult diagnosis due to the lack of specificity of symptoms and the absence of effective conservative treatment, adenomyosis is still tightly bond at hysterectomy. Even so, a recent literature study shows that the fatality of hysterectomy could go away. The progress in imagery diagnosis and myometrial biopsy allows the use of less radical treatments. So a group of young patients with an earlier diagnosis appears, permitting to use with effectiveness the hormonal therapy or endoscopic surgery. Hysterectomy at once is saved for more than 40 years old patients, with a considerable uterine volume and deep lesions. In the others cases, the radical procedure remains the solution for the failure of conservative treatment.
子宫腺肌病具有一种奇怪且未知的特征。事实上，由于其生理病理学尚不清楚，症状缺乏特异性导致诊断困难，且缺乏有效的保守治疗方法，子宫腺肌病仍然与子宫切除术紧密相关。即便如此，最近的文献研究表明子宫切除术的必要性可能会消除。影像诊断和子宫肌层活检的进展使得采用不太激进的治疗方法成为可能。因此，出现了一批诊断较早的年轻患者，使得激素治疗或内镜手术能够得到有效应用。对于年龄超过40岁、子宫体积较大且病变较深的患者，仍保留立即进行子宫切除术。在其他情况下，根治性手术仍是保守治疗失败后的解决方案。
