To investigate the clinical effect of U-shaped resection of uterine myometrium for treating patients with diffusibility adenomyosis. Methods: From March 2015 to March 2019, 49 patients with adenomyosis confirmed by pathology after operation were selected as the study subjects. 25 patients underwent U-shaped myometrial resection were in study group and 24 patients underwent transabdominal adenomyectomy were in control group. The menstrual conditions of patients in the two groups before and after the treatment were observed, and the recurrence and incidence of endometriosis of all patients were observed for 6 months after the operation. Result: All the 49 patients underwent surgical treatment. After operation, the average volume of the uterus of all patients had reduced significantly, the degree of dysmenorrhea of all patients had alleviated gradually, and the level of CA125, menstrual period, and menstrual blood volume of all patients decreased significantly, but HGB level of all patients had elevated significantly, which all of patients in the study group were significant better than those of patients in the control group (P<0.05). There was no significant change in menstrual cycle of patients between the two groups (P>0.05). There was 1 case with uterine serosa and endometrial hematoma which absorbed by itself in the study group. No any patient with recurrence of adenomyosis or endometriosis implantation in both groups was found during the followed up period. Conclusion: U-shaped myometrial excision can significantly improve dysmenorrhea and excessive menstruation volume of patients with diffusibility adenomyosis, and can retain uterine structure and function, which is suitable for treating patients with adenomyosis.

Effect of different treatments of cervical lesions of pregnant women on their pregnancy outcomes and delivery mode[J]. 中国计划生育学杂志, 2020, 28(7): 1108-1113.