宫腔镜电切术治疗子宫粘膜下肌瘤及发生TURP综合征分析  

Analysis Hysteroscopic Transcervical Resection of Submucous Myoma and Transurethral Resection of Prostate(TURP) Syndrome

作　　者：黄燕清[1] 黄婉[1] 区霞晖[1] 黄子健[1] 肖青[1] 白洁[1] 

机构地区：[1]广州市妇婴医院,510180

出　　处：《中国妇幼保健》2006年第7期998-1000,共3页Maternal and Child Health Care of China

摘　　要：目的：探讨宫腔镜电切术（TCRM）治疗子宫粘膜下肌瘤的价值和发生经尿道前列腺切除TURP综合征的诱发因素以及并发症的预防措施。方法：对2001年1月-005年11月期间采用TCRM治疗子宫粘膜下肌瘤80例及发生并发症1例进行临床分析。结果：80例中77例在B超监护下完成手术，3例在腹腔镜监护下手术，切除粘膜下肌瘤90个，0型45个。Ⅰ型37个，Ⅱ型8个，肌瘤重量2—100g，（18．6±14．8）g，手术时间10-60min，（29．9±11．3）min，失血量5—50ml。（20．1±9．1）ml，1例发生TURP综合征，经积极抢救治疗后痊愈。术后随访所有病人，月经量均明显减少，1例术后4年因多发性子宫肌瘤行全子宫切除术。结论：充分做好术前准备，做好各项预防措施，TCRM术是1种安全、有效的方法。Objective： To investigate the value of hysteroscopic transcervical resection of myoma （TCRM）, the inducement of Transurethral Resection of Prostate （TURP） Syndrome and complication prevention. Methods： A total of 80 patients with uterine submucous myoma were treated with TCRM from January 2001 to November 2005, in which there were 1 complication. Results： 77 cases of 80 submucous myomas were resected under hysteroscopy combined with B - ultrasound, The other 3 cases were resected under laparoscopy and hysteroscopy combination. There were 45 cases of type 0, 37 cases of type Ⅰ , 8 cases of type Ⅱ in total 90 submucosal myomas resected. The weight of myoma varied from 2 - 100g （ 18, 6 ± 14. 8 g）, the operation time varied from 10 -60 mins （29. 9 ± 11. 3 mins）, and the blood loss varied from 5 to 50 ml （20. 1 ±9. 1 ml） . TURP Syndrome happened in 1 patient, who was later cured after active salvage. During the follow - up, menstrual blood loss of all patients was reduced, 4 years after operation, 1 patient underwent total hysterectomy for multiple leiomyoma. Conclusion： Finished sufficient preparation before operation and proper measures to prevent complications, TCRM is safe and effective in treatment of submucous myoma of uterus.

关 键 词：子宫粘膜下肌瘤 宫腔镜 电切术 TURP综合征 

分 类 号：R737.33[医药卫生—肿瘤]