宫腔镜子宫黏膜下肌瘤电切术的临床应用  

Clinical application of hysteroscopic electroresection for submucous myoma

作　　者：苏庆红[1] 王岚[1] 葛莉宾[1] 何明珊[1] 

机构地区：[1]广西医科大学第七附属医院妇产科,广西梧州543001

出　　处：《中国妇幼保健》2012年第25期3878-3880,共3页Maternal and Child Health Care of China

摘　　要：目的:探讨宫腔镜子宫黏膜下肌瘤电切术的手术方法及其并发症预防。方法:对96例子宫黏膜下肌瘤患者行宫腔镜电切术,术中行B超或腹腔镜监护。结果:96例患者一次性手术成功率为95.8%,切除的肌瘤直径平均值为(3.6±0.7)cm,最大直径6 cm,手术时间平均(41.2±15.9)min,术中出血量平均(15.4±22.4)ml,发生手术并发症2例,分别为稀释性低钠血症和一过性发热。结论:宫腔镜子宫黏膜下肌瘤切除是安全有效的,加强术中监护可预防并发症的发生。Objective： To explore the surgical method and prevention of complications of hysteroscopic electroresection for treatment of submueous myoma. Methods： A total of 96 patients with submucous myoma were treated with hysteroscopic electroresection, ultrasound and laparoscope were used for intraoperative monitoring. Results： The one -time successful rate was 95.8%, the mean value of diameter of resected submucous myoma was （3.6 ±0.7） cm, the longest diameter was 6 cm, the mean operation time was （41.2 ± 15. 9） minutes, the mean amount of blood loss during operation was （ 15.4 ± 22. 4） ml. Surgical complications occurred in two cases, which were dilutional hyponatrcmia and postoperative temporal fever, respectively. Conclusion： Hysteroscopic electroresection of submucous myoma is safe and effective, strengthening intraoperative monitoring can prevent the occurrence of complications.

关 键 词：宫腔镜 黏膜下肌瘤 肌瘤剔除术 

分 类 号：R713.4[医药卫生—妇产科学]