Fedele L, Bianchi S, Zanotti F, Marchini M, Candiani G B
Istituto Ostetrico-Ginecologico, L. Mangiagalli, Milano, Italy.
Hum Reprod. 1993 Oct;8(10):1708-10. doi: 10.1093/oxfordjournals.humrep.a137919.
Reproductive performance was evaluated after conservative surgery for uterine adenomyoma in a prospective, observational study. Twenty-eight women with histologically proven adenomyomas had conservative surgery in the period 1985-1990. Eighteen patients wanting children were regularly followed for a mean +/- SD period of 53.2 +/- 23.5 months. Crude and cumulative pregnancy rates were calculated after the operation. Thirteen (72.2%) women conceived, for a total of 18 pregnancies: nine (50%) ended in term deliveries, seven (38.8%) in spontaneous abortions, one (5.6%) in ectopic pregnancy and one (5.6%) in a pre-term delivery with neonatal death. The cumulative pregnancy rate at 36 months of follow-up was 74.7%. This analysis of a small series indicates that conservative surgery for adenomyomas is associated with a good reproductive prognosis.
在一项前瞻性观察研究中，对子宫腺肌病保守性手术后的生殖性能进行了评估。1985年至1990年期间，28名经组织学证实患有腺肌病的女性接受了保守性手术。18名想要孩子的患者接受了平均±标准差为53.2±23.5个月的定期随访。术后计算了粗妊娠率和累积妊娠率。13名（72.2%）女性怀孕，共18次妊娠：9次（50%）足月分娩，7次（38.8%）自然流产，1次（5.6%）异位妊娠，1次（5.6%）早产并伴有新生儿死亡。随访36个月时的累积妊娠率为74.7%。对这一小系列病例的分析表明，腺肌病的保守性手术与良好的生殖预后相关。
