宫腔镜诊断和治疗黏膜下子宫肌瘤的临床实践  

Clinic practice of diagnosis and therapy of submucous myoma by hysteroscope

作　　者：罗劲[1] 洪高明[1] 葛华[1] 

机构地区：[1]内蒙古科技大学包头医学院一附院妇产科,内蒙古包头014010

出　　处：《中国医药导报》2008年第2期66-67,共2页China Medical Herald

摘　　要：目的:探讨宫腔镜电切术(hysteroscopic transcervical resection of myoma,TCRM)治疗黏膜下子宫肌瘤的效果和安全性。方法:我院收治的子宫疾病1266例,经B超和宫腔镜检查确诊为黏膜下子宫肌瘤428例,应用宫腔镜电切术治疗402例。术后随访6～24个月。结果:电切诊疗黏膜下子宫肌瘤402例均一次性成功。手术时间平均为35min,手术出血量为25～100ml,膨宫液用量为600～2800ml,切除肌瘤直径为1.0～6.2cm,肿瘤数目1～4个。随访未发现并发症。结论:宫腔镜电切术是目前诊断和治疗黏膜下子宫肌瘤的最佳选择。Objective： To discuss the effectiveness and safety of submucous myoma treated by TCRM.Methods：Among 1 266 cases of uterine diseases,428 cases were diagnosed with submucous myoma by B supersonic and hysteroscope,among the 428 cases,402 cases were treated by TCRM.Results：402 cases were cured by TCRM just one time.The average time of operation was 35 minutes,the bleeding volume was 25-100 ml,the volume of distension fluids was 600-2 800 ml, the diameter of submucous myoma is 1-6.2 cm,the number of tumor was 1-4. Then following up 6-24 months, no compications happened.Conclusion：TCRM is the best choice for the diaenosis and therapy of submucous mvoma.

关 键 词：宫腔镜 黏膜下子宫肌瘤 电切术 

分 类 号：R737[医药卫生—肿瘤]