Uterine-sparing U-shaped Reconstruction Surgery in the Treatment of Diffuse Uterine Adenomyosis
10.3969/j.issn.1009-6604.2025.09.005
- VernacularTitle:保留子宫"U"形重建术治疗弥漫性子宫腺肌病
- Author:
Xiuxiu WU
1
;
Mengjing TAN
;
Ru ZHU
Author Information
1. 安庆市立医院妇产科 安庆医药高等专科学校临床研究中心,安庆 246000
- Publication Type:Journal Article
- Keywords:
Adenomyosis;
Uterine-sparing surgery
- From:
Chinese Journal of Minimally Invasive Surgery
2025;25(9):534-538
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the clinical efficacy of uterine-sparing U-shaped reconstruction surgery in the treatment of diffuse uterine adenomyosis.Methods A total of 48 patients with diffuse uterine adenomyosis underwent surgical treatment from October 2019 to September 2022.All the patients underwent a modified lesion resection procedure via sagittal plane incision of the uterine corpus,enabling direct visualization for U-shaped excision of adenomyotic foci within the myometrium,followed by endometrial cavity reconstruction and uterine remodeling.The dysmenorrhea score,menstrual volume score,serum CA125,and uterine volume were assessed at 1,6,and 12 months postoperatively.Results All the 48 patients underwent surgery successfully.The average surgery time was(115.7±13.6)min,the average intraoperative blood loss was(109.4±30.9)ml,and the total length of hospital stay was(8.6±1.7)d.At 1,6,and 12 months after surgery,the dysmenorrhea score,menstrual volume score,serum CA125 levels,and uterine volume were significantly lower as compared to the pre-operative values(all P=0.000).The hemoglobin level at 1 month after surgery was significantly higher than that before surgery(P=0.000).No symptomatic or ultrasonic recurrences were observed in all the 48 cases.Two cases got unexpected pregnancy after surgery.Conclusions Uterine-sparing U-shaped reconstruction surgery is a safe and effective treatment for diffuse uterine adenomyosis.It does not require special instruments,and is simple and easy to perform.
