Clinical efficacy of conservative surgery on adenomyosis in 97 patients

Objective To investigate clinical efficacy of conservative surgery(laparoscopy or traditional laparotomy) in removing adenomyosis lesions. Methods Ninety-seven patients with adenomyosis undergoing conservative surgery(laparoscopy or traditional laparotomy) for excising adenomyosis lesions were retrospectively analyzed in this study.Dysmenorrheal,menstrual blood volume,gestation improvement in those complicated with infertility,and recurrence were compared between pre-and post-operation. Results Incidence of dysmenorrheal and dysmenorrheal severity were higher in the patients with adenomyosis complicated with myoma of uterus or endometriosis than those with only adenomyosis.Incidence of infertility was higher in the patients with adenomyosis complicated with endometriosis,and it was lower in those with adenomyosis complicated with myoma of uterus.In post-operative patients over 30 years old,dysmenorrheal was significantly alleviated(alleviation rate:92.20% in 30-40 year group vs.81.80% in 40 year group),menstrual blood volume was significantly decreased(changing rate of the volume:45.16% in 30-40 year group vs.33.33% in 40 year group),and the clinical efficacy was good.In the post-operative patients less than 30 years old,alleviation rate of dysmenorrheal was 53.80%,changing rate of menstrual blood volume was 5.88%,and the recurrence rate was 19.58%.Surgery had a significant effect in improving pregnant rate of infertility patients;the older the women,the more significantly the pregnant rate was increased. Conclusion Conservative surgery of adenomyosis lesions can effectively treat adenomyosis and alleviate the symptoms of the patients,who have a low recurrence rate after the surgery.This method achieves good clinical efficacy.