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

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ABSTRACT

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.

No MeSH data available.


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The patients with adenomyosis took B ultrasonic examination before or after the operation. Before the operation, we found enlarged uterus with rich blood flow signal. After the operation, the uterus was shrunk. (A) Before the operation, the uterus was enlarged with rich blood flow signals. (B) After the operation, the uterus was shrunk with poor blood flow signals.
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Figure 2: The patients with adenomyosis took B ultrasonic examination before or after the operation. Before the operation, we found enlarged uterus with rich blood flow signal. After the operation, the uterus was shrunk. (A) Before the operation, the uterus was enlarged with rich blood flow signals. (B) After the operation, the uterus was shrunk with poor blood flow signals.

Mentions: The adenomyosis showed low density mass in the enlarged uterus with or without blood flow signal. In our study, B ultrasonic taken 3 months later after operation showed shrunk uterus with little or no blood flow signal as shown in Fig. 2.


Fifteen cases clinical analysis of wedge-shaped resection of uterus treating adenomyosis — CONSORT
The patients with adenomyosis took B ultrasonic examination before or after the operation. Before the operation, we found enlarged uterus with rich blood flow signal. After the operation, the uterus was shrunk. (A) Before the operation, the uterus was enlarged with rich blood flow signals. (B) After the operation, the uterus was shrunk with poor blood flow signals.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4998442&req=5

Figure 2: The patients with adenomyosis took B ultrasonic examination before or after the operation. Before the operation, we found enlarged uterus with rich blood flow signal. After the operation, the uterus was shrunk. (A) Before the operation, the uterus was enlarged with rich blood flow signals. (B) After the operation, the uterus was shrunk with poor blood flow signals.
Mentions: The adenomyosis showed low density mass in the enlarged uterus with or without blood flow signal. In our study, B ultrasonic taken 3 months later after operation showed shrunk uterus with little or no blood flow signal as shown in Fig. 2.

View Article: PubMed Central - PubMed

ABSTRACT

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.

No MeSH data available.


Related in: MedlinePlus