The Clinical Curative Effect And Analysis Of Three Different Surgical Treatment For Adenomyosis

Objective: adenomyosis(referred to as gland myopathy)refers to the ectopic endometrium infiltrates the normal myometrium,hyperplasia of smooth muscle cells embrace ectopic endometrium epithelium and stroma,forming lesions ultimately.progressive symptoms of dysmenorrhea and sterility of adenomyosis,that both bring patients great life pressure and physical or mental pain.adenomyosis patients are often grouped into two categories in the Clinical: ones have fertility requirements,the others don't need.In allusion to the adenomyosis patients who barren requirements,total hysterectomy is one of the most commonly used surgical methods in the clinical,But which often leads to ovarian function decline?residual ovarian syndrome ? sexual function decline and other complications.So the main purpose of this topic:exploring remarkable curative operation method and that can protect the women's ovarian function through comparition of three different surgical treatments of adenomyosis.Methods: in accordance with inclusion criteria and discharge standards,eventually choose 91 cases of medical records were retrospectively analyzed,all the adenomyosis patients underwent surgical treatment from January 2014 to January 2016 in hospital.The 91 cases,including 3 group : observation group(group LDH)for laparoscopic triangle hysterectomy(30 cases),the control groups,respectively including(group LTH)laparoscopic total hysterectomy(32 cases)and(group LSH)laparoscopic subtotalhysterectomy(29 cases).Observing the operation time ?intraoperative blood loss ? postoperative changes of ovarian function after three months ? six months and one year;ultrasound change ?the degree of dysmenorrhea ?complications and other indicators after one yearResults: the operation time of there groups have no difference(p>0.05);the intraoperative blood loss of there groups have no difference(p>0.05);group LDH: The numerical of LH?FSH?AMH with respect to preoperative ? postoperative three months ? postoperative six months ?postoperative one year has no significant change(p>0.05);group LTH: The numerical of LH?FSH?AMH with respect to preoperative ?postoperative three months has no significant change(p>0.05),The numerical of LH?FSH with respect to preoperative?postoperative six months?postoperative one year increases significantly(p<0.05),AMH value decreases significantly(p<0.05);group LSH: The numerical of LH?FSH?AMH with respect to preoperative ?postoperative three months ? postoperative six months has no significant change(p>0.05),The numerical of LH?FSH with respect to postoperative one year increases significantly(p<0.05),AMH value decreases significantly(p<0.05);Dysmenorrhea efficacy of three groups of adenomyosis patients who underwent surgical treatment,that dose no have statistically significant difference(p>0.05);Through comparison of preoperative and postoperative one year,it comes to a conclusion anyone of three groups in the aspect of dysmenorrhea degree change,the difference was statistically significant(p<0.05).Conclusions:1?Curative effect of adenomyosis patients is distinct in the treatment of laparoscopic deltoid hysterectomy,which has less postoperative complications and protect the ovarian function.It conforms to the physiological and psychological needs of adenomyosis patients who barrenrequirements.So laparoscopic deltoid hysterectomy is worth generalizing in clinical.2?Laparoscopic deltoid hysterectomy dose not increase operation time and bleeding,that is similar With laparoscopic total hysterectomy ?laparoscopic subtotal hysterectomy.