医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2014年
20期
652-653
,共2页
朱书铔(综述)%汪炼(审校)
硃書铔(綜述)%汪煉(審校)
주서아(종술)%왕련(심교)
子宫腺肌病%腺肌瘤%药物疗法%妇科外科手术%高强度聚焦超声
子宮腺肌病%腺肌瘤%藥物療法%婦科外科手術%高彊度聚焦超聲
자궁선기병%선기류%약물요법%부과외과수술%고강도취초초성
Adenomyosis%Adenomyoma%Drug therapy%Gynecologic surgical operation%High intensity focused ultrasound
子宫腺肌病治疗方法有传统的药物、手术治疗及近年来新出现的无创治疗。临床常用药物有促性腺激素释放激素激动剂、雄激素类衍生物、孕激素类和米非司酮，芳香化酶抑制剂和环氧化酶2抑制剂对子宫腺肌病的疗效正在探讨中。手术治疗包括根治手术和保守手术。根治手术即为子宫切除术，保守手术包括腺肌病病灶切除术、子宫内膜及肌层切除术、盆腔去神经支配治疗、腹腔镜下子宫动脉阻断术、子宫腺肌病的血管介入性治疗。无创治疗为超声或磁共振引导下高强度超声手术等。
子宮腺肌病治療方法有傳統的藥物、手術治療及近年來新齣現的無創治療。臨床常用藥物有促性腺激素釋放激素激動劑、雄激素類衍生物、孕激素類和米非司酮，芳香化酶抑製劑和環氧化酶2抑製劑對子宮腺肌病的療效正在探討中。手術治療包括根治手術和保守手術。根治手術即為子宮切除術，保守手術包括腺肌病病竈切除術、子宮內膜及肌層切除術、盆腔去神經支配治療、腹腔鏡下子宮動脈阻斷術、子宮腺肌病的血管介入性治療。無創治療為超聲或磁共振引導下高彊度超聲手術等。
자궁선기병치료방법유전통적약물、수술치료급근년래신출현적무창치료。림상상용약물유촉성선격소석방격소격동제、웅격소류연생물、잉격소류화미비사동，방향화매억제제화배양화매2억제제대자궁선기병적료효정재탐토중。수술치료포괄근치수술화보수수술。근치수술즉위자궁절제술，보수수술포괄선기병병조절제술、자궁내막급기층절제술、분강거신경지배치료、복강경하자궁동맥조단술、자궁선기병적혈관개입성치료。무창치료위초성혹자공진인도하고강도초성수술등。
Treatments for adenomyosis are traditional medical therapy,surgical therapy and noninvasive treatment in recent years.Clinical commonly used medicines as gonadotropin-releasing hormone agonist,androgen derivatives,progesterone hormones and mifepristone;the ef icacy of aromatase inhibitors and cyclooxygenase 2 inhibitors for adenomyosis is being studied now. Surgical treatments for adenomyosis includes radical surgery and conservative surgery.The radical surgery is hysterectomy.The conservative surgery includes adenomyomectomy,resection of endometrium,pelvicdenervation therapy,uterine arterial blockage,uterine arterial embolization.Noninvasive treatment is ultrasound or magnetic resonance guided high intensity focused ultrasound.
