宫腔镜下Ⅱ型子宫黏膜下肌瘤电切术的效果观察及并发症发生率评价  

Analysis About CorreLation Between Thyroid Function in the First Trimester and Gestational Diabetes Mellitus

作　　者：刘晶 王娟 郭秀丽[1] 宋菲菲 LIU Jing;WANG Juan;GUO Xiuli;SONG Feifei(Maternal and Child Health Hospital,Changzhi City,Shanxi Province,Changzhi,Shanxi 046000,China)

机构地区：[1]山西省长治市妇幼保健院,山西长治046000

出　　处：《大医生》2020年第12期43-45,共3页Doctor

摘　　要：目的研究宫腔镜下Ⅱ型子宫黏膜下肌瘤电切术的应用效果以及对术后并发症发生率的影响。方法选取山西省长治市妇幼保健院妇科2019年1月至12月收诊的Ⅱ型子宫黏膜下肌瘤患者78例为研究对象,根据治疗方法分为对照组与试验组,每组39例。对照组患者采用腹腔镜手术治疗,试验组患者采用宫腔镜下电切术治疗,对比两组患者的手术时间、术中出血量、术后并发症发生率、术后住院时间等指标。结果试验组与对照组的手术时间(48.3±3.5)min vs.(66.5±5.4)min、术中出血量(53.3±7.5)mL vs.(90.5±15.4)mL、术后首次排气时间(16.9±2.1)h vs.(30.5±4.3)h以及术后住院时间(2.3±0.5)d vs.(3.9±0.7)d,对比均差异有统计学意义(P<0.05);对照组的术后并发症发生率为5.13%,低于试验组的术后并发症发生率20.51%(P<0.05)。结论Ⅱ型子宫黏膜下肌瘤患者应用宫腔镜下电切术和腹腔镜手术均能取得满意疗效,其中宫腔镜手术的手术时间、术中出血量较少,术后恢复较快,但是与腹腔镜手术相比,宫腔镜的手术并发症发生率相对较多,临床医师应结合患者的病情特点合理选择术式。Objective To study the application effect of hysteroscopic submucosal myomectomy and its influence on the incidence of postoperative complications.Methods A total of 78 patients with submucosal type II hysteromyoma admitted to the Department of Gynecology of Maternal and Child Health Hospital,Changzhi City,Shanxi Province from January to December 2019 were selected as the research objects.According to the treatment methods,they were divided into control group and experimental group,39 cases in each group.The control group was treated with laparoscopic surgery,and the experimental group was treated with hysteroscopic resection.The operation time,intraoperative blood loss,incidence of postoperative complications and postoperative hospital stay were compared between the two groups.Results The operation time(48.3±3.5)min vs.(66.5±5.4)min,intraoperative blood loss(53.3±7.5)mL vs.(90.5±15.4)mL,first postoperative exhaust time(16.9±2.1)h vs.(30.5±4.3)h and postoperative hospital stay(2.3±0.5)d vs.(3.9±0.7)d in the experimental group and the control group were statistically significant(P<0.05);the incidence of postoperative complications in the control group was 5.13%,which was lower than that in the experimental group 20.51%(P<0.05).Conclusion Hysteroscopic resection and laparoscopic surgery can achieve satisfactory results in patients with submucosal type II hysteromyoma.Hysteroscopic surgery has less operation time,less intraoperative blood loss,and faster postoperative recovery.However,compared with laparoscopic surgery,hysteroscopic surgery has a relatively high incidence of complications.Clinicians should choose the operation method according to the characteristics of patients'condition.

关 键 词：宫腔镜下电切术 黏膜下Ⅱ型子宫肌瘤 腹腔镜手术 

分 类 号：R71[医药卫生—妇产科学]