Efficacy of laparoscopic adenomyomectomy using double-flap method for diffuse uterine adenomyosis

BMC Women's Health

Research Article

Xiufeng Huang¹  Qiongshi Huang¹  Xinmei Zhang¹  Kaiqing Lin¹  Jing Zhang¹  Shuyi Chen¹ 

[1] The Department of Gynecology, Women’s Hospital, Zhejiang University School of Medicine, 1 Xueshi Road, 310006, Hangzhou, Zhejiang, P. R. China;

关键词: Adenomyosis;    Adenomyomectomy;    Dysmenorrhea;    Double flap method;    Surgery;   

DOI  :  10.1186/s12905-015-0182-5

 received in 2014-11-02, accepted in 2015-02-24,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundAdenomyomectomy has recently been considered the priority option for the treatment of adenomyosis, however, the surgical efficacy and modes are still debated. We aimed to evaluate the efficacy of laparoscopic adenomyomectomy using a double-flap method for the treatment of uterine diffuse adenomyosis when compared with conventional laparoscopic adenomyomectomy.MethodsLaparoscopic adenomyomectomy using the conventional method (group A, n = 48) and the double-flap method (group B, n = 46) to treat diffuse uterine adenomyosis, respectively. Visual analog scale (VAS), menstrual amount, serum CA125 levels, and uterine volume were comparatively analyzed in both groups.ResultsThe VAS scores, menstrual amount, serum CA125 levels, and uterine volume at 12 or 24 months after surgery significantly reduced in group B than in group A (P < 0.05); these parameters were statistically decreased in both groups after surgery compared with those obtained before surgery (P < 0.001). Moreover, serum CA125 levels and uterine volume at six months of follow up were significantly lower in group B than in group A (P < 0.01). In addition, blood loss during surgery was similar in groups A and B (P > 0.05), although the operative time was significantly longer in group B than that in group A (P < 0.05).ConclusionsLaparoscopic adenomyomectomy using the double-flap method may be an effective technique to treat uterine diffuse adenomyosis.

【 授权许可】

Unknown   
© Huang et al.; licensee BioMed Central. 2015. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.