宫腔镜治疗子宫肌瘤146例临床分析  

Clinical analysis of 146 cases of hysteroscopic surgery for hysteromyoma

作　　者：羿爱华[1] 李颖[1] 刘美玲[1] 

机构地区：[1]大连市妇产医院产三科,辽宁省大连116033

出　　处：《中国基层医药》2008年第5期786-787,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的评价官腔镜手术治疗子宫肌瘤的疗效及安全性。方法官腔镜下子宫肌瘤切除术（TCRM），根据术后月经改善情况，剩余肌瘤有无增长，是否再次手术等，将疗效分为满意和不满意进行分析。结果TCRM术后满意率为95％，O型、I型术后满意率达100％。全部手术无严重并发症发生。结论TCRM是治疗黏膜下子宫肌瘤的最佳选择，对于壁间子宫肌瘤，也能取得令人满意的疗效。正确选择手术适应证，严格B超监测是提高手术疗效和安全性的保障。Objective To evaluate therapeutic effect and safety of hysteroscope operation in treating hysteromyoma. Methods 146 patients were subjected to trartscervieal resection of myoma （TCRM）, curative effects were evaluated as satisfaction or dis-satisfaction according to the degree of bleeding control, the rate of growth of my- orna and the need of subsequent surgery. Results The total satisfactory rate is 95 % ,and satisfactory rate of type 0 and I reached 100%. There was no complication in all patients. Conclusion TCRM is the best choice in treating submucous myoma. The results of surgery were satisfactory to intramural myoma if gasp the indictiorts. Selecting proper indications for operation,B ultrasonic monitoring severity are important for ensuring the operation effect and safety.

关 键 词：肌瘤 子宫 宫腔镜 

分 类 号：R737[医药卫生—肿瘤]