宫颈管内黏膜下肌瘤经阴道摘除术的临床应用  

Clinical Application of Transvaginal Resection of Submucous Leiomyoma in the Cervical Canal

作　　者：王翠翠[1] 宋宁[1] 马晓欣[1] 

机构地区：[1]中国医科大学附属盛京医院妇产科,沈阳110004

出　　处：《中国医科大学学报》2011年第7期658-659,共2页Journal of China Medical University

摘　　要：目的探讨宫颈管内黏膜下肌瘤经阴道剖开宫颈摘除肌瘤的方法。方法回顾性分析30例因经量增多、经期延长、不孕、贫血等症状联合B超或宫腔镜检查诊断为宫颈管内黏膜下肌瘤,行宫颈管内黏膜下肌瘤经阴道剖开宫颈摘除肌瘤的手术经过,治疗效果及注意事项。结果 30例肌瘤全部切除,术后症状均有所缓解,无任何并发症,其中有生育要求的4例均成功受孕。结论宫颈管内黏膜下肌瘤经阴道摘除术是一种安全、有效、经济的手术方法。正确选择手术适应证,提高手术质量是手术安全性和提高术后疗效的保障。Objective To discuss the method of cutting the cervix transvaginally and resecting the myoma from the cervical canal.Methods The 30 cases were analyzed retrospectively which were diagnosed as submucous leiomyoma in the cervical canal by ultrasound or hysteroscopy combined with clinical symptoms such as abnormal vaginal bleeding、infertility and anemia.The process and results of the operation has also been introduced.Results All the leiomyoma were removed successfully,the symptoms were relieved without any complications in all operations.Conclusion Transvaginal resection is the first choice for submucus leiomyoma in the cervical cananl.Remembering the indications of the operation and improving the quality of the operation are essential for safety and prognosis.

关 键 词：宫颈管 黏膜下肌瘤 阴式 手术 

分 类 号：R737.33[医药卫生—肿瘤]