Nabeshima Hiroshi, Murakami Takashi, Terada Yukihiro, Noda Takahiro, Yaegashi Nobuo, Okamura Kunihiro
Department of Obstetrics and Gynecology, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai, Miyagi, 980-8574, Japan.
J Am Assoc Gynecol Laparosc. 2003 May;10(2):195-9. doi: 10.1016/s1074-3804(05)60298-8.
A 19-year-old-woman had a cystic adenomyoma located within the myometrium. She complained of severe dysmenorrhea. Gonadotropin-releasing hormone agonist therapy was administered, but her dysmenorrhea was more pronounced than before treatment. Therefore, total laparoscopic resection of the lesion was performed. The external appearance of the patient's uterus was almost normal. A hydroultrasonographic monitoring method was devised (transvaginal ultrasonography with peritoneal hydration of physiologic saline) that proved useful in locating the adenomyoma. The patient's dysmenorrhea disappeared postoperatively.
一名19岁女性的子宫肌层内有一个囊性腺肌瘤。她主诉严重痛经。给予促性腺激素释放激素激动剂治疗，但她的痛经比治疗前更明显。因此，对该病变进行了全腹腔镜切除术。患者子宫的外观几乎正常。设计了一种水超声监测方法（经阴道超声检查并向腹腔内注入生理盐水），该方法在定位腺肌瘤方面很有用。患者术后痛经消失。
