有生育要求子宫腺肌症的保守治疗
| 作者: |
1刘梁子,
1任雅梦,
2史小荣
1 山西医科大学第一临床医学院，太原 030000 2 山西医科大学第一医院妇科，太原 030000 |
| 通讯: |
史小荣
Email: sxrglj123456888@163.com |
| DOI: | 10.3978/j.issn.2095-6959.2019.05.036 |
摘要
子宫腺肌症(adenomyosis，Am)是指子宫内膜(包括腺体及间质)侵入子宫肌层生长而产生的良性病变，好发于30~50岁育龄期妇女，其症状主要为痛经和月经异常(多为月经量增多)。对于有症状的患者，根据患者的年龄、生理及心理需求的不同而有多种诊疗方案，大体分为手术治疗及保守治疗。对于有生育要求的Am患者，推荐手术切除病灶联合药物补充治疗的方案。
关键词：
子宫腺肌症；保留生育功能；治疗
Conservative treatment of adenomyosis with fertility requirements
CorrespondingAuthor: SHI Xiaorong Email: sxrglj123456888@163.com
DOI: 10.3978/j.issn.2095-6959.2019.05.036
Abstract
Adenomyosis refers to the benign lesions produced by the infiltration of the endometrium (including glands and interstitium) into the myometrium. It occurs in women of childbearing age of 30 to 50 years old. The symptoms are mainly dysmenorrhea and menstrual abnormalities (mostly Increased menstrual flow). For symptomatic patients, there are a variety of treatment options depending on the age, physical and psychological needs of the patient, which are roughly classified into surgical treatment and conservative treatment. For young patients with adenomyosis and fertility requirements, conservative treatment can be used to relieve symptoms, a surgical resection of the lesion combined with drug replacement therapy is recommended.
Keywords：
adenomyosis; preservation of fertility; treatment