Damirov M M, Kulakov V I, Bakuleva L P, Shabanov A M, Sarkisov S E, Sliusar' N N
Akush Ginekol (Mosk). 1993(3):37-40.
The authors analyze the results of comprehensive examinations and treatment of 79 patients with corporal isthmic adenomyosis. Comprehensive examinations making use of clinical, instrumental (hysteroscopy, hysterosalpingography, echography), biochemical (measurements of blood and myometrial phosphatidylinosites), and morphologic methods are needed for a reliable diagnosis of this condition. Blood phosphatidylinosite measurements may be used as an objective test to assess the efficacy of hormonal therapy. Trental and lipostabil forte are advisable for adenomyosis therapy. If amputation of the uterus has to be resorted to, intraoperative histologic express testing of the lower edge of the uterus for endometriosis may help choose the optimal volume of surgical intervention and prevent extirpation of the uterus that is not at all neutral for the body.
作者分析了79例子宫峡部腺肌病患者的综合检查及治疗结果。可靠诊断这种疾病需要综合运用临床、仪器检查（宫腔镜检查、子宫输卵管造影、超声检查）、生化检查（血液和子宫肌层磷脂酰肌醇测定）以及形态学方法。血液磷脂酰肌醇测定可用作评估激素治疗效果的客观检测方法。曲克芦丁和强力多烯磷脂酰胆碱适用于腺肌病的治疗。如果必须进行子宫切除术，术中对子宫下缘进行子宫内膜异位症的组织学快速检测有助于选择最佳手术范围，并避免切除对身体并非毫无影响的子宫。
