[Clinical observation of conservative surgery for XXXX ].

@entity1 @entity249 @entity2257 @entity75 @entity1870 @entity1834 @entity7992 @entity931
OBJECTIVE: To study the clinical value of conservative surgery for @entity1870 in reducing symptoms and raising pregnancy rate. METHODS: 26 @entity1 with histologically proven @entity1870 who wanted to preserve their reproductive capacity had conservative surgery (adenomyomectomy or remove @entity75 ). The @entity1 's average age was 35.8 years. The main complaints were @entity1834 and @entity931 . Of the 22 married @entity1 , 7 had primary @entity249 (31.8%), 10 had secondary @entity249 (45.5%) and 3 had @entity7992 (13.6%). RESULTS: 10 @entity1 had @entity2257 , the lesion were completely removed. Sixteen @entity1 had @entity1870 , the part of lesion were removed. The rate of the severe @entity1834 and @entity931 after operation were significantly lower than that before (P < 0.001). After operation, 7 @entity1 with @entity2257 wanted to have a baby, 5 @entity1 conceived, of the total 9 pregnancies, 5 ended in term pregnancy; 14 @entity1 with diffuse @entity1870 wanted to have a baby, 3 @entity1 had 3 pregnancies. One of which ended in term pregnancy. The rate of pregnancy and term delivery in @entity2257 @entity1 were significantly higher than that of @entity1870 @entity1 (P = 0.03, P = 0.002). Among 26 @entity1 , 3 relapsed. The average relapse time was 49.6 months. CONCLUSIONS: The conservative surgery for @entity2257 can reduce symptom and raise pregnancy rate significantly, it can be accepted by young @entity1 who want to preserve their reproductive capacity. Though the pregnancy rate of conservative surgery for diffused @entity1870 was low, it still has therapeutic value.
