宫腔电切镜治疗宫颈良性病变251例临床分析  

Clinical application of hysteroscopy to treat 251 cases of cervical benign lesion

作　　者：朱莉[1] 何秀萍[1] 张玮[1] 

机构地区：[1]哈尔滨医科大学附属第四医院妇产科,黑龙江哈尔滨150001

出　　处：《中国内镜杂志》2005年第B11期166-169,共4页China Journal of Endoscopy

摘　　要：目的：探讨宫腔电切镜治疗宫颈良性病变的临床应用价值。方法：用宫腔电切镜治疗宫颈良性病变251例。其中，宫颈锥形切除治疗，慢性宫颈炎234例（宫颈糜烂138例，宫颈息肉57例，宫颈炎性增生39例）；切除宫颈内突肌瘤17例。术后随访1-3个月。结果：宫腔电切镜宫颈锥形切除术后1个月，宫颈上皮覆盖约85％；术后2个月，宫颈上皮覆盖达100％，宫颈恢复正常大小，宫颈表面光滑，慢性宫颈炎一次性治愈率为97．86％。宫腔电切镜切除宫颈肌瘤术后3月治愈率为100％。结论：宫腔电切镜锥形切除宫颈治疗宫颈良性病变治愈率高，操作简便、安全，术后并发症少；宫腔电切镜治疗宫颈内突肌瘤是最佳选择。Objective： To investigate the therapeutic efeet of hysterscopy electro rtsection lesion. Methods： 251 caes of cervical benign lesion （234 chronic cervicitis and 17 cervical subserous myoma） treated by hysteroscopy were observed. All patients were followed up from 1 to 3 months. Results： The covering rate of cervical epithelium was about 85% one month after the operation, and was 100% after two months, The uterine meck returned to normal size and smooth. The postoperative curative rate of cervical erosion after 2 months was 97.86%. The postoperative curative rate of subserous myoma after 3 month was 100%. Conclusion： The curative rate of hysterscopic electro resection is high in the treatment of cervical benign lesion. Being simple and safe, it is the best choice for subserous cervical myoma with less complication.

关 键 词：宫腔电切镜 宫颈良性病变 宫颈肌瘤 治疗 临床分析 

分 类 号：R711.74[医药卫生—妇产科学] R711.32[医药卫生—临床医学]