Objectives:To discuss the clinical manifestations and laparoscopic management of cystic adenomyosis.Methods:The data of 5 patients with cystic adenomyosis were analyzed retrospectively.Results:All patients had dysmenorrhea.With an average age of 28.2 years old,all the patients underwent laparoscopic enucleation of the lesion.The pathogenesis of all the patients showed adenomyosis.All the patients had clinically significant reduction in dysmenorrhea and there were no recurrence.One patient conceived naturally after surgery and had term vaginal delivery.Conclusion:Laparoscopic enucleation of the lesion is a reliable procedure to treat cystic adenomyosis.%目的:探讨囊性子宫腺肌病的临床特点及腹腔镜手术治疗措施.方法:对我院收治的5例囊性子宫腺肌病患者临床资料进行分析.结果:全部5例患者均有痛经,平均年龄28.2岁,均施行了腹腔镜下病灶去除术,术后病理均提示子宫腺肌病,术后症状均得到缓解且无复发,1名患者术后自然妊娠并足月阴道分娩.结论:腹腔镜下病灶去除术是囊性子宫腺肌病的一种可行的治疗手段.
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