Abstract:

The methods of conservative surgery for adenomyosis include laparotomy and laparoscopic surgery.Conservative surgery is mainly used for young women with uterine preservation requirements and fertility desire.Laparoscopic conservative surgery for adenomyosis is more recommended for local adenomyosis.Laparoscopic surgery often involves wedge-shaped excision of uterine wall，H-shaped incision of uterine wall，double-flap and triple-flap.There are advantages and disadvantages for various methods of volume reduction surgery.In any treatment，attention should be paid to the therapeutic effect of clinical symptoms，reduction of recurrence after operation，pregnancy outcome and prevention of uterine rupture after operation.

Key words: adenomyosis, conservative treatment, laparoscopic surgery

摘要：

子宫腺肌病保守手术的方式包括开腹手术及腹腔镜手术，保守手术治疗主要应用于年龄较轻，有保留子宫要求及生育意愿的女性，腹腔镜下子宫腺肌病保守手术目前更推荐用于局限型子宫腺肌病。腹腔镜手术中常用到子宫壁楔形切除，子宫壁H形切口法、双瓣法、三瓣法等减容手术方式，各种手术方式有其优缺点。任何一种治疗方法需关注的是对临床症状的治疗效果、减少术后复发率、妊娠结局及预防术后妊娠子宫破裂发生。

关键词: 子宫腺肌病, 保守治疗, 腹腔镜手术