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Fifteen cases clinical analysis of wedge-shaped resection of uterus treating adenomyosis—CONSORT

机译：子宫楔形切除术治疗子宫腺肌病十五例临床分析

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摘要

To investigate the improvement of dysmenorrhea and menorrhagia after wedge-shaped resection of uterus. The clinical data of 15 patients who experienced wedge-shaped resection of uterus for adenomyosis were retrospectively analyzed from September 2012 to October 2013. We use the amount of the completed soaked napkins to measure the menstrual blood volume, and the visual analog scale to evaluate the degree of dysmenorrhea. We used the 2 index to evaluate the improvement of dysmenorrhea and menorrhagia after operation. All operations were successful, no serious complication occurred. Before the operation, all 15 patients used more than 25 pieces of completed soaked napkins, after the operation, 13 patients had significantly decreased menstrual flow, the average amount of completed soaked napkins was 3.6. Meanwhile, 2 patients had no menstrual after surgery. Before the operation, among the 10 patients with severe dysmenorrhea, 9 patients had significant relief on pain, they only experienced slight pain after surgery, only 1 patient still experienced moderate pain. Two patients with slight pain had no pain after operation. Among the 3 patients with moderate pain, 2 patients experienced slight pain and 1 patient felt no pain after operation. The wedge-shaped resection of uterus is a safe and effective procedure to significantly reduce menorrhagia and alleviate the extent of dysmenorrhea, which is a promising alternative for patient who suffered from dysmenorrhea and menorrhagia for adenomyosis.
机译：探讨子宫楔形切除术后痛经和月经过多的改善。回顾性分析2012年9月至2013年10月对子宫腺肌病进行楔形子宫切除术的15例患者的临床资料。我们使用完整的浸湿餐巾纸量来测量月经血量，并使用视觉模拟量表来评估月经量。痛经程度。我们使用2指数评估术后痛经和月经过多的改善情况。所有手术均成功，无严重并发症发生。术前全部15例患者均使用25片以上已浸湿的餐巾纸，术后13例月经量明显减少，平均已浸湿纸巾量为3.6。同时，有2例患者术后无月经。手术前，在10例严重痛经患者中，有9例疼痛明显缓解，他们仅在手术后出现轻微疼痛，只有1例仍出现中度疼痛。两名轻微疼痛的患者术后无疼痛。在3例中度疼痛患者中，2例出现轻度疼痛，1例术后无疼痛。楔形子宫切除术是一种安全有效的方法，可显着减少月经过多并减轻痛经的程度，对于痛经和月经过多的子宫腺肌病患者而言，这是一个有前途的选择。

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