宫腔镜电切术治疗黏膜下子宫肌瘤的疗效分析  

Analysis on the efficacies of hysteroscopic electrotomy for submucosal myoma of uterus

作　　者：彭玲[1] PENG Ling(Department of Gynecology, Ma＇anshan Maternal and Child Health-Care Hospital, Ma＇anshan 243011, China)

机构地区：[1]马鞍山市妇幼保健院妇科,安徽马鞍山243011

出　　处：《皖南医学院学报》2017年第1期71-73,共3页Journal of Wannan Medical College

基　　金：国家自然科学基金项目(31301171)

摘　　要：目的:观察宫腔镜电切术治疗黏膜下子宫肌瘤的疗效及安全性。方法:回顾性分析我院2012年1月~2015年12月宫腔镜电切术治疗黏膜下子宫肌瘤101例患者临床资料,将肌瘤分为0型、Ⅰ型、Ⅱ型,比较三种类型肌瘤患者年龄、肌瘤大小、血红蛋白、手术时间、术中出血量、术后住院时间等方面差异。结果:除术后留院时间外,Ⅱ型黏膜下子宫肌瘤患者肌瘤平均直径、手术时间、术中出血量与0型、Ⅰ型比较差异均有统计学意义(P<0.05)。所有患者无一例发生子宫穿孔等并发症;1例术后发生稀释性低钠血症,经治疗后好转。结论:宫腔镜电切术治疗黏膜下子宫肌瘤已经成为主流方式,并获得越来越多患者的认可。Objective： To observe the efficacies and safety of hysteroscopic electrotomy in the treatment of submucosal myoma of uterus.Methods： The clinical data were retrospectively analyzed in 101 cases of submucosal myoma of uterus received hysteroscopic electrotomy in our hospital between January 2012 and December 2015.The cases were divided into type O,typeⅠand typeⅡ by classification,and compared regarding the association of tumor type with patient＇s age,tumor size,hemoglobin level,operative time,intra-operative blood loss and postoperative hospital stay. Results： The differences of average tumor diameter,mean operative time and intra-operative blood loss were significant in the three types of uterine myoma except the postoperative hospital stay（ P〈0.05）.No uterine perforation occurred.One case was complicated with postoperative dilutional hyponatremia and was improved after management.Conclusion： Hysteroscopic electrotomy may be the primary procedure for submucosal myoma of uterus,and is recognized by more patients.

关 键 词：子宫黏膜下肌瘤 宫腔镜电切术 安全性 

分 类 号：R737.33[医药卫生—肿瘤]