宫腔镜刨削系统治疗黏膜下子宫肌瘤的临床效果  

Clinical effect of submucosal uterine fibroids treated by hysteroscopic shaving system

作　　者：蔡玉[1] 刁海丹[1] CAI Yu;DIAO Hai-dan(Department of Gynecology,the Third People′s Hospital of Dalian,Liaoning Province,Dalian116033,China)

机构地区：[1]大连市第三人民医院妇科,辽宁大连116033

出　　处：《中国当代医药》2021年第18期90-93,共4页China Modern Medicine

摘　　要：目的探讨宫腔镜刨削系统治疗黏膜下子宫肌瘤的临床效果。方法选取2018年5月~2019年12月大连市第三人民医院收治的40例黏膜下子宫肌瘤患者作为研究对象,按照不同的手术方法分为研究组(20例)与对照组(20例)。实验组采用宫腔镜刨削系统切除方法,对照组采用宫腔镜双极电切方法。比较两组手术时间、术中出血量、术后血钠水平变化、术后阴道出血时间及术后1个月两组患者子宫内膜厚度。结果研究组的手术时间短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05)。研究组的术后阴道出血时间短于对照组,差异有统计学意义(P<0.05),术后1个月,研究组的子宫内膜厚度厚于对照组,差异有统计学意义(P<0.05)。两组的术后血钠水平比较,差异无统计学意义(P>0.05)。结论对于黏膜下子宫肌瘤,宫腔镜刨削系统切除手术可以缩短手术时间、减少术中出血量,术后恢复快,是一种安全、有效的治疗方式,值得临床推广。Objective To investigate the clinical effect of hysteroscopic shaving system in the treatment of submucosal uterine fibroids.Methods A total of 40 patients with submucosal uterine fibroids admitted to the Dalian Third People′s Hospital from May 2018 to December 2019 were selected as the research subjects,and were divided into study group(20 cases)and control group(20 cases)according to the surgical methods.The control group were treated with hysteroscopic bipolar electrocautery,while the research group were treated with hysteroscopic shaver system.The operation time,intraoperative blood loss,postoperative serum sodium level,postoperative vaginal bleeding time and endometrial thickness were compared.Results The operative time of the study group was shorter than that in the control group,the intraoperative blood loss in the study group was less than that in the control group,and the differences were statistically significant(P<0.05).The duration of postoperative vaginal bleeding in the study group was shorter than that in the control group,and the difference was statistically significant(P<0.05).The endometrial thickness in the study group was thicker than that in the control group one month after surgery,and the difference was statistically significant(P<0.05).There was no significant difference in postoperative serum sodium level between the two groups(P>0.05).Conclusion Hysteroscopic shaving system is feasible and safe for the treatment of submucous myomas,which can shorten the operation time,reduce the amount of intraoperative blood loss,and recover quickly after the operation.It is worthy of clinical promotion.

关 键 词：宫腔镜 刨削系统 黏膜下子宫肌瘤 并发症 

分 类 号：R71[医药卫生—妇产科学]