子宫动脉栓塞联合宫腔镜治疗子宫黏膜下大肌瘤的临床疗效分析  

Clinical Effects of Uterine Artery Embolization Combined with Hysteroscopy in the Treatment of Submucous Myoma

作　　者：梁江红[1] 罗蕊丽[1] 郑蓉[1] 

机构地区：[1]湖北医药学院附属太和医院妇科一病区,湖北十堰442000

出　　处：《医学综述》2016年第11期2259-2261,共3页Medical Recapitulate

摘　　要：目的观察子宫动脉栓塞联合宫腔镜治疗子宫黏膜下大肌瘤的临床效果。方法选取2011年7月至2012年7月湖北医药学院附属太和医院收治的65例直径≥5.0 cm子宫黏膜下肌瘤患者,依据随机数字表法分为研究组(n=35)和对照组(n=30)。研究组患者给予子宫动脉栓塞联合宫腔镜治疗,对照组患者给予单纯宫腔镜电切术治疗。对两组患者的经期、血红蛋白、临床疗效、并发症发生情况、临床治疗满意度进行统计分析。结果治疗后,研究组经期短于对照组[(6.8±1.2)d比(7.8±1.3)d],血红蛋白高于对照组[(92±3)g/L比(86±5)g/L],差异有统计学意义(P<0.01)。研究组总有效率高于对照组[97.1%(34/35)比80.0%(24/30)],差异有统计学意义(P<0.05)。研究组患者的总并发症发生率显著低于对照组[14.3%(5/35)比33.3%(11/30)],差异有统计学意义(P<0.05)。研究组患者的临床治疗满意率显著高于对照组[94.3%(33/35)比76.7%(23/30)],差异有统计学意义(P<0.05)。结论子宫动脉栓塞联合宫腔镜治疗直径≥5.0 cm子宫黏膜下肌瘤的临床效果显著。Objective To observe the clinical effect of uterine artery embolization combined with hysteroscopy in the treatment of submucous myoma. Methods Total of 65 cases of submucous myoma with diameter ≥5. 0 cm treated in Hubei Medical College Affiliated Taihe Hospital from Jul. 2011 to Jul. 2012 were included,and divided into two groups according to the random number table method,namely study group（ n = 35） and control group（ n = 30）. The control group was given only hysteroscopy,while the study group received uterine artery embolization combined with hysteroscopy,and then the menstruation,hemoglobin,clinical efficacy,complications,clinical treatment satisfaction of the two groups were statistically analyzed.Results After treatment,the menstruation period of the study group was shorter than the control group[（ 6. 8 ± 1. 2） d vs（ 7. 8 ± 1. 3） d],hemoglobin was higher than the control group[（ 92 ± 3） g/L vs（ 86 ±5） g / L],the difference was statistically significant（ P〈0. 01）. The total effective rate of the study group was higher than the control group[97. 1%（ 34 /35） vs 80. 0%（ 24 /30） ],the difference was statistically significant（ P〈0. 05）. The total complication rate of the study group was significantly lower than the control group[14. 3%（ 5 /35） vs 33. 3%（ 11 /30） ],the difference was statistically significant（ P〈0. 05）. Clinical treatment satisfaction of the study group was higher than the control group[94. 3%（ 33 /35） vs 76. 7%（ 23 /30） ],the difference was statistically significant（ P〈0. 05）. Conclusion Clinical effects of uterine artery embolization combined with hysteroscopy in diameter ≥5. 0 cm submucous myoma is significant.

关 键 词：子宫黏膜下肌瘤 子宫动脉栓塞联合宫腔镜 临床效果 

分 类 号：R53[医药卫生—内科学]