The investigation of the clinical effects of laparoscopic cuniform subtotal hysterectomy

[Obsjective] To investigate the clinical effects of laparoscopic cuniform subtotal hysterectomy to adenomyosis.[Methods] 49 cases of adenomyosis in our hospital,13 cases of laparoscopic cuniform subtotal hysterectomy(LC),27 cases of laparoscopic focus removing(LF),9 cases of laparoscopic subtotal hysterectomy respectively(LS) were reviewed retrospectively in terms of the operation duration,blood loss,intestine recovery,and before operation and 3 months after operation,the seral CA125,E2,and degree of dysmenorrheal.The paired t test was used for statistic analysis of the indexes of ante-and post-operation,P 0.05.[Results] The seral CA125 and the dysmenorrheal degree differ not significantly between LC and LS,but seral E2 higher in LC;The seral E2 differs not significantly between LC and LF,but the seral CA125 and the dysmenorrheal degree were better in LC without significant changes of the operation duration,blood loss and intestine recovery.[Conclusion] Laparoscopic cuniform subtotal hysterectomy is no injury to uterine artery and ovarian ligament,preserves the blood supplying and function of ovary.So for the cases of adenomyosis without needs of childbearing,laparoscopic cuniform subtotal hysterectomy is a good selection.