Pistofidis G, Makrakis E, Koukoura O, Bardis N, Balinakos P, Anaf V
Clin Exp Obstet Gynecol. 2014;41(2):113-8.
To analyze laparoscopically treated cases of adenomyosis based on intraoperative and histopathology findings and to correlate different types with patients' presenting symptoms and characteristics, as well as with the surgical approach.
Sixty-eight women who underwent laparoscopic treatment of adenomyosis at a referral center for gynecological laparoscopy.
Four distinct types of adenomyosis could be identified: diffuse, sclerotic, nodular, and cystic (54.5%, 13%, 28%, and 4.5% of cases, respectively). Menorrhagia as the main presenting symptom was significantly more frequent in patients with the diffuse type (84%) compared to those with sclerotic (44%) and nodular (37%) types (p = 0.025 andp = 0.001, respectively). All cases of cystic and nodular adenomyosis were treated by laparoscopic excision of the lesion. Eighty-nine percent of patients with sclerotic adenomyosis were treated with wide laparoscopic excision of the abnormal tissue. Eighty-one percent of patients with diffuse adenomyosis were treated with laparoscopic hysterectomy.
Adenomyosis can be classified in four distinct types with differences in the presenting symptoms, as well as in the ideal surgical approach.
基于术中及组织病理学发现分析经腹腔镜治疗的子宫腺肌病病例，并将不同类型与患者的症状表现、特征以及手术方式相关联。
68例在妇科腹腔镜转诊中心接受子宫腺肌病腹腔镜治疗的女性。
可识别出四种不同类型的子宫腺肌病：弥漫型、硬化型、结节型和囊肿型（分别占病例的54.5%、13%、28%和4.5%）。与硬化型（44%）和结节型（37%）患者相比，弥漫型患者以月经过多为主要症状的情况更为常见（分别为84%，p = 0.025和p = 0.001）。所有囊肿型和结节型子宫腺肌病病例均通过腹腔镜切除病灶进行治疗。89%的硬化型子宫腺肌病患者接受了腹腔镜广泛切除异常组织的治疗。81%的弥漫型子宫腺肌病患者接受了腹腔镜子宫切除术。
子宫腺肌病可分为四种不同类型，其症状表现以及理想的手术方式存在差异。
