宫腔镜电切治疗宫腔内良性占位性病变32例体会  

Experience for treatment of 32 cases of intrauterine benign tumor lesion by hysteroscope electroresection.

作　　者：陈中文 李玲 鲁顺琼 杜莲芳 Chen Zhongwen, Li Ling, Lu Shunqiong, Du Lianfang. （ Department of obstetrics and gynecologic, the first people＇s hospital of Zhaoqing, Guangdong 526021 China ）

机构地区：肇庆市第一人民医院,广东肇庆526021

出　　处：《中国保健》2008年第24期1123-1124,共2页Chinese Health Care

摘　　要：目的：探讨宫腔镜电切黏膜下肌瘤及子宫内膜息肉的临床效果和安全性。方法：2004年1月-2006年12月在肇庆市第一人民医院行宫腔镜电切黏膜下肌瘤20例，子宫内膜息肉12例，对术后疗效进行随访观察。结果：所有病例均一次性切除病变，术后病理检查良性，手术平均时间30min，术中出血10～150ml，无继发性出血及术后感染，所有病例观察1年以上，子宫肌瘤无复发，子宫内膜息肉1例复发行全子宫切除术。结论：宫腔镜电切治疗子宫内良性占位性病变创伤小、安全、治愈率高、复发率低，是最佳的治疗选择。Objective：To explore the clinical effect and security of submucous leiomyomas and endometrial polyps by hysteroscope electroresection. Methods：20 cases submucous leiomyomas and 12 cases endometrial polyps were treated with hysteroscopic electroresection from Jan. of 2004 to Dec. of 2006 in the first people＇s hospital of Zhaoqing, which postoperative curative effects were following up observated. Results：All lesions were resected disposably. Postoperative pathological results were benign. The average operation time was 30 min, intraoperative bleeding was 10 - 150ml, there was no postoperative secondary bleeding and postoperative infection. All cases were observed above one year. There was no hysteromyomas recurrence, one case of endometrial polyps was recurrence and was operated with radical hysterectomy. Conclusion： Hysteroscope electroresection is the first choice of intrauterine benign tumor lesion with little trauma, safty, high cure rate and lower recurrence rate.

关 键 词：宫腔镜电切术 子宫黏膜下肌瘤 子宫内膜息肉 

分 类 号：R713.4[医药卫生—妇产科学;医药卫生—临床医学]