CAJ | 학술논문

子宫腺肌病的主要症状为继发性进行性加重的痛经，可伴有月经量过多或经期延长，严重影响患者的生活质量。手术为子宫腺肌病的重要治疗方法。由于越来越多的年轻患者要求保留生育能力，因此子宫腺肌病的保守性手术应运而生。目前子宫腺肌病的保守性手术主要包括：“三叶瓣”式病灶及肌层切除术、不对称性纵向病灶及肌层切除术、单纯病灶切除术、病灶切除术联合子宫动脉阻断术或子宫神经去除术、宫腔镜下子宫内膜及肌层切除术、子宫体楔形切除术等。手术方式的选择应根据患者的年龄、症状、有无生育要求、病变部位及范围决定。
자궁선기병적주요증상위계발성진행성가중적통경，가반유월경량과다혹경기연장，엄중영향환자적생활질량。수술위자궁선기병적중요치료방법。유우월래월다적년경환자요구보류생육능력，인차자궁선기병적보수성수술응운이생。목전자궁선기병적보수성수술주요포괄：“삼협판”식병조급기층절제술、불대칭성종향병조급기층절제술、단순병조절제술、병조절제술연합자궁동맥조단술혹자궁신경거제술、궁강경하자궁내막급기층절제술、자궁체설형절제술등。수술방식적선택응근거환자적년령、증상、유무생육요구、병변부위급범위결정。
The main symptoms of adenomyosis are progressively secondary dysmenorrhoea and may be associated with hypermenorrhoea or menostaxis,affecting the quality of patients′normal life seriously. Surgical treatment for adenomyosis is of great importance. As more and more young patients desire to preserve their fertility ,therefore,the conservative surgery emerged. At present,conservative surgical managements are composed of the triple-flap method ,asymmetric longitudinal dissection of the uterus,excisional surgery,excisional surgery united with uterine artery ligated or uterine nerve ablation,hysteroscopic ablation and excision,wedge-shaped resection and so on. Choice of surgical procedure should be based on patients′age,symptoms,with or without fertility requirements,and the scope of the lesion decision.