宫腔镜下电切除术治疗不同分型子宫黏膜下肌瘤对患者生育能力的影响  

Effect of Hysteroscopic Electrosection on Potentia Generandi in Treatment of Different Classifications Patients with Uterine Submucous Myoma

作　　者：薛燕[1] 张芬[1] 李春芳[1] 张福梅[1] XUE Yan ZHANG Fen LI Chun-fang ZHANG Fu-mei(Department of Obstetrics and Gynecology, People＇s Hospital of Yan＇an, Yan＇an, Shaanxi 716000, China)

机构地区：[1]延安市人民医院妇产科,陕西延安716000

出　　处：《解放军医药杂志》2017年第9期13-16,共4页Medical & Pharmaceutical Journal of Chinese People’s Liberation Army

基　　金：陕西省自然科学基金(SX4611-2C)

摘　　要：目的探讨宫腔镜下电切除术治疗子宫黏膜下肌瘤对患者生育能力的影响。方法回顾性分析2010年10月—2014年10月住院治疗的150例子宫黏膜下肌瘤患者病例资料。并根据2005年美国国际宫腔镜中心临床分型分为A(0型)、B(Ⅰ型)、C(Ⅱ型)组,每组50例。比较并分析3组的术中出血量、手术时间、住院天数、术后并发症及术后妊娠结局等。结果 3组手术时间、术中出血量和住院天数比较差异无统计学意义(P>0.05)。A组的足月生产率明显高于B组和C组(P<0.05),且B组与C组比较差异无统计学意义(P>0.05)。3组的早产率、难产率和流产率比较差异无统计学意义(P>0.05)。3组均未发生术后严重并发症。结论宫腔镜下电切除术治疗不同类型子宫黏膜下肌瘤安全有效,治疗后妊娠结局存在差异,子宫黏膜下肌瘤的早期诊断和治疗可提高患者的生育能力。Objective To investigate effect of hysteroscopic electrosection on potentia generandi in treatment of patients with uterine submucous myoma. Methods Clinical data of 150 patients with uterine submucosal myoma admit- ted during October 2010 and October 2014 was retrospectively analyzed, and the patients were divided into group A （type 0 ）, B （type I） and C （type II） according to clinical classification of American International Hysteroscopy Center in 2005 （n = 50 for each group）. Intraoperative bleeding volume, operation time, length of hospital stay, postoperative complica- tions and postoperative pregnancy outcomes were compared and analyzed in the 3 groups. Results There were no signifi- cant differences in values of operation time, intraoperative bleeding volume and length of hospital stay among the 3 groups （ P 〉 0. 05 ）. The full term productivity in group A was significantly higher than those in group B and C （ P 〈 0.05 ）, and there was no significant difference in the value between group B and C （ P 〉 0.05 ）. There were no significant differences in rate of premature delivery, dystocia rate and abortion rate among the 3 groups （P 〉 0. 05）. No serious complication was found after operation in the 3 groups. Conclusion Hysteroscopic electrosection in treatment of different classifica- tions patients with uterine submucous myoma is safe and effective, but there are differences in pregnancy outcome after treatment. Early diagnosis and treatment can improve potentia generandi of patients.

关 键 词：宫腔镜下电切除术 肌瘤 子宫 生育力 

分 类 号：R713.4[医药卫生—妇产科学] R738.7[医药卫生—临床医学]