宫腔镜电切术治疗黏膜下子宫肌瘤的疗效及安全性分析  

Analysis on the Clinical Efficacy and Safety of Submucous Uterine Myoma Electrore-section Under Hysteroscope

作　　者：张国琼[1] 

机构地区：[1]重庆市合川区人民医院妇产科,重庆401520

出　　处：《河北医学》2013年第1期71-74,共4页Hebei Medicine

摘　　要：目的:应用宫腔镜手术治疗各种类型的黏膜下子宫肌瘤,并评价该手术的疗效及其安全性。方法:2008年2月至2010年5月21例黏膜下子宫肌瘤采用宫腔镜技术治疗,11例0型(A组),7例I型(B组),3例Ⅱ型(B组)。观察治疗结果并对比两组治疗差异。结果:所有患者平均手术时间为44.5±11.45min,术中血量为59.3±14.64mL,住院时间为4.7±1.34d,术后满意率为90.4%。A组和B组手术时间、术中失血量组间对比差异有统计学意义(P﹤0.05),住院时间组间比较差异无意义(P﹥0.05)。结论:宫腔镜电切术治疗子宫黏膜下肌瘤效果好,恢复快,是治疗子宫黏膜下肌瘤的最佳选择,尤其适用与0型黏膜下子宫肌瘤。Objective： To observe the clinical efficacy and safety of submucous uterine myoma electrore-section under hysteroscope.Method： 21 patients with submucous uterine myoma who were treated in the hospital from February 2008 to May 2010 were selected.There were 11 patients with type 0 in group A,7 with type I and 3 type Ⅱ in group B,all patients were treated with submueous uterine myoma electroresection under hysteroscope.To observe therapeutic situations in the two groups.Result： The average operation time of all patients were 44.5±11.45min,and intraoperatve blood loss was 59.3±14.64mL,and hospital stays was 4.7±1.34 days,and the satisfaction rate was 90.4%.It showed significant difference between group A and B in operation time and intraoperatve blood loss,but no significant difference in hospital stays.Conclusion： The therapeutic effect of submucous uterine myoma electroresection under hysteroscope is definite,and the safety is good,the method is suitable for the patients with type 0 submucous uterine myoma especially.

关 键 词：黏膜下子宫肌瘤 宫腔镜 手术 疗效分析 

分 类 号：R737.33[医药卫生—肿瘤]