宫腔镜下切除有症状的子宫肌腺瘤：可行性和有效性。
Hysteroscopic excision of symptomatic myometrial adenomyosis: feasibility and effectiveness.
机构信息
Department of Obstetrics and Gynecology, International Peace Maternity and Child Health Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, China.
Institute of Embryo-Fetal Original Adult Disease Affiliated to School of Medicine, Shanghai Jiaotong University, Shanghai, China.
出版信息
BJOG. 2017 Sep;124(10):1615-1620. doi: 10.1111/1471-0528.14673. Epub 2017 Jun 1.
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.
TWEETABLE ABSTRACT
Hysteroscopic excision is feasible for patients with symptomatic adenomyosisis.
目的
探讨宫腔镜下切除子宫肌腺病病灶的可行性和疗效。
设计
病例系列研究。
地点
一所大学医学中心。
人群
51 名患有子宫肌腺病的妇女完成了这项研究。
方法
对患者进行宫腔镜下切除子宫肌腺病病灶，并随访 24 个月。记录症状程度、子宫体积和血清 CA125 浓度。评估月经过多和痛经的程度。
结果
平均 MVJ 和 VAS 评分从基线显著下降。子宫体积和血清 CA125 显著降低。
结论
宫腔镜下切除子宫肌腺病病灶是可行的，可能对改善症状有效。
推文摘要
宫腔镜下切除对有症状的腺肌病患者是可行的。
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