International Journal of Clinical Research
International Journal of Clinical Research. 2026; 10: (6) ; 10.12208/j.ijcr.20260271 .
总浏览量: 69
1中国人民解放军第四六〇医院（原空军医院）妇产科 河南郑州
2INTERNATIONAL HOSPITAL OF ZAMBIA, Fairview, Lusaka, Zambia
*通讯作者： 汪红霞,单位：中国人民解放军第四六〇医院（原空军医院）妇产科 河南郑州; ；
目的 优化弥漫性子宫腺肌症保宫U形手术方案，减少手术创伤并患者保护卵巢功能，提升手术安全性与疗效。方法 选取68例符合标准的患者，采用自制腹壁提拉装置，经下腹部小切口在腹腔内完成U形病灶挖除术，同期处理合并的卵巢子宫内膜异位囊肿、子宫肌瘤等病变。结果 所有手术均顺利完成，平均手术时间72分钟，平均出血量200mL；术后患者痛经显著缓解，子宫体积明显缩小，CA125及激素水平恢复正常，随访期内无复发，卵巢功能得以保留。结论 腹壁提拉装置可有效扩大腹腔内操作空间，实现小切口微创保宫U形手术，兼顾病灶清除效果与卵巢功能保护，临床应用价值显著。
Objective To optimize the U-shaped uterine-sparing surgical protocol for diffuse uterine adenomyosis, reduce surgical trauma, protect patients ' ovarian function, and improve the safety and efficacy of the procedure. Methods Sixty-eight eligible patients were enrolled. U-shaped lesion resection was performed intraperitoneally via a mini lower abdominal incision with a self-made abdominal wall lifting device. Concurrent pathologies including ovarian endometriotic cysts and uterine fibroids were managed simultaneously. Results All surgeries were completed successfully. The mean operative time was 72 minutes, and the mean intraoperative blood loss was 200 ml. Postoperatively, patients showed significant relief of dysmenorrhea, obvious reduction in uterine volume, and normalization of CA125 and hormone levels. No recurrence was found during follow-up, and ovarian function was preserved. Conclusion The abdominal wall lifting device can effectively expand the intraperitoneal operating space, enabling minimally invasive U-shaped uterine-sparing surgery through a small incision. It achieves both satisfactory lesion resection and ovarian function protection, with remarkable clinical application value.
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