Effectiveness of improved laparoscopic practicion on adenomyosis:analysis of 48 cases

[Objective] To evaluate the feasibility and the effective on pregnancy of laparoscopic excision of adenomyosis with improved surgical procedure.[Methods] 48 adenomyosis cases with severe dysmenorrhea were operated on by laparoscopy with improved surgical procedure.The operations were followed lasted for 12 to 36 months.The clinical symptom,ultrasound scan,were recorded.[Results] The adenomyoma was taken out thoroughly,it took 90minutes and amount of bleeding was 80ml.Patients were hospitalized for 5 days.The dysmerorrhea of 32 cases (66.7%) eliminated in the duration of follow-up.And 16 cases (33.3%) got dysmenorrhea again after 8～15 months,but less pain compared with before.There was significant difference.5 cases with menorrhagia became normal,but others had no change.No significant difference was found in the amount of menstruation.[Conclutions] The improved surgical procedure through laparoscopy is effective and mini-injure.