宫腔镜下子宫黏膜下肌瘤切除不同治疗模式的对比研究  

Comparative study on different operation mode in transcervical resection of submucosal myoma

作　　者：黎先萍 李娟[1] 张敏[1] 

机构地区：[1]海南省农垦三亚医院妇产科,海南三亚572000

出　　处：《中国计划生育和妇产科》2017年第10期60-62,67,共4页Chinese Journal of Family Planning & Gynecotokology

摘　　要：目的探讨宫腔镜下子宫黏膜下肌瘤切除不同治疗模式的治疗效果。方法回顾性分析2014年3月至2015年12月因子宫黏膜下肌瘤在海南省农垦三亚医院就诊的患者160例,其中日间手术组80例,住院手术组80例。对患者手术时间、术后不良反应、住院时间、医疗花费、患者满意度及术后1年复发情况进行对比分析。结果两组治疗方式均能使患者月经紊乱情况得以改善,日间手术组比住院手术组住院时间短、医疗花费少、患者满意度高,差异有统计学意义(P<0.05)。两组手术时间、术后不良反应、术后1年复发率及术后恢复率比较,差异无统计学意义(P>0.05)。结论日间手术在医疗花费与住院时间上优于住院手术,在临床上可优先考虑。Objective To investigate the effect of two different treatment modes,day time surgery and hospital surgery on the therapeutic effect for transcervical resection of uterine submucous myoma. Methods A total of 160 patients diagnosed with uterine submueous myoma in Hainan Province Nongken Sanya Hospital from March 2014 to December 2015, including 80 patients in the daytime surgery group and 80 patients in the hospitalization surgery group, were selected in retrospective analysis. The operative time, postoperative adverse reactions, hospitalization time, medical expenses, patient satisfaction and 1 year recurrence rate after surgery were observed. Results Two groups of treatment improved the patients＂ menstrual disorders. Compared with the hospitalization surgry group, the hospitalization time was shorter, the medical expenses were less, the patients＇satisfaction was higher in the daytime surgery group, the differences were statistically significant （P 〈 0. 05 ）. There were no significant differences between the two groups in the operation time, postoperative adverse reactions and 1 year recurrence rate （ P 〉 0.05 ）. Conclusion Daytime surgery in medical expenses and hospitalization time is better than hospitalization surgery, but in during and postoperative recovery there are no significant differences. Daytime surgery is worthy in clinical promotion.

关 键 词：子宫黏膜下肌瘤 宫腔镜 日间手术 住院手术 

分 类 号：R713.4[医药卫生—妇产科学]