摘要
目的探讨特殊部位孤立性子宫囊性腺肌瘤的临床特征和腹腔镜切除病灶的有效性。方法 2002年6月～2015年6月病理诊断特殊部位孤立性子宫囊性腺肌瘤9例,年龄16～35岁,(23. 4±5. 9)岁。均有严重痛经,均行腹腔镜病灶切除术。结果病灶均位于子宫圆韧带起点处或其偏下方。病灶直径2. 2～4. 0 cm,(3. 2±0. 6) cm,内见一囊腔,直径0. 6～3. 5 cm,(1. 7±0. 8) cm。病理结果显示为囊性腺肌瘤样特征,但周围肌层中除紧邻囊腔部位外均未见子宫内膜腺体和间质细胞分布。术后1个月痛经的疼痛评分由(9. 8±0. 6)分降至(0. 4±0. 7)分(P=0. 004)。随访2. 5～11. 5年,(6. 6±3. 2)年,无痛经和病灶复发。结论特殊部位孤立性子宫囊性腺肌瘤是一种发生于年轻女性的可致严重痛经的罕见疾病,腹腔镜下单纯病灶切除术安全、有效。
Objective To investigate the clinical features of isolated cystic uterine adenomyoma in special locations and the effectiveness of laparoseopie resection. Methods From June 2002 to June 2015, 9 patients were found with isolated cystic uterine cystic adenomyoma in special locations through pathological diagnosis. They were aged from 16 to 35 （ mean, 23.4± 5.9） years old. All of them had severe dysmenorrhea and undei^vent laparoscopic focal excision surgery. Results All the masses were located at/ under the level of insertion of the round ligament. The inner cystic cavity with a diameter of 0.6 - 3.5 em （ mean, 1.7±0.8 em） was surrounded by a capsule, forming a total lesion diameter of 2.2 - 4.0 em （ mean, 3.2±0.6 era）. The pathologic examination revealed cystic adenomyoma-like features, but the endometrial glands and stroma were sparsely distributed only in the myometrium adjacent to the inner cystic cavity. The Visal Analogue Scale/score of dysmenorrhea was decreased from （9.8 ± 0.6） points to （ 0.4±0.7 ） points at 1 month postoperatively （ P = 0. 004）. Follow-ups for 2.5 - 11.5 years （ mean, 6.6± 3.2 years） revealed neither dysmenorrhea nor lesion. Conclusions Isolated cystic uterine adenomyoma in special locations is an unusual cause of dysmenorrhea amongst young women. Focal excision surgery via laparoseopie approach is a valuable therapeutic alternative for this disorder.
作者
骆黎静
盛洁
卢丹
段爱红
李巍
詹阳
Luo Lijing;Sheng Jie;Lu Dan(Department of Gynecology,Beijing Obstetrics and Gynecology Hospital,Capital Medical University,Beijing 100026,China)
出处
《中国微创外科杂志》
CSCD
北大核心
2018年第11期982-985,共4页
Chinese Journal of Minimally Invasive Surgery
关键词
子宫囊性腺肌瘤
痛经
Cystic uterine adenomyoma
Dysmenorrhea
