超声监视下宫腔镜电切术治疗黏膜下子宫肌瘤患者的效果  

Effects of hysteroscopic electric resection under ultrasound monitoring in treatment of patients with submucosal uterine fibroids

作　　者：盛玲玲 SHENG Lingling(Department of Obstetrics and Gynecology of Xinzheng the Second People’s Hospital,Zhengzhou 451100 Henan,China)

机构地区：[1]新郑市第二人民医院妇产科,河南郑州451100

出　　处：《中国民康医学》2022年第7期25-27,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:探讨超声监视下宫腔镜子宫肌瘤电切术(TCRM)治疗黏膜下子宫肌瘤(SM)患者的效果。方法:选取96例SM患者为研究对象,按照随机数字表法分为对照组、观察组各48例。对照组采用常规TCRM治疗,观察组采用超声监视下TCRM治疗。比较两组围术期指标(术中出血量、手术时间、术后肛门排气时间、下床活动时间及住院时间)水平、手术前后子宫动脉血流参数[搏动指数(PI)、阻力指数(RI)]、术后并发症发生率及肌瘤残留率。结果:观察组术中出血量少于对照组,手术时间、肛门排气时间、下床活动时间及住院时间均短于对照组,差异有统计学意义(P<0.05);两组术后RI均大于术前,PI均小于术前,且观察组RI大于对照组,PI小于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为6.25%,低于对照组的20.83%;观察组肌瘤残留率为4.17%,低于对照组的16.67%,差异均有统计学意义(P<0.05)。结论:超声监视下TCRM治疗SM患者可减少术中出血量,缩短手术时间、术后肛门排气时间、下床活动时间及住院时间,促进病情恢复,降低并发症发生率及肌瘤残留率,效果优于常规TCRM治疗。Objective:To explore effects of hysteroscopic electric resection under ultrasound monitoring(TCRM)in treatment of patients with submucosal uterine fibroids(SM).Methods:96 SM patients were selected as the research objects and were divided into control group and observation group according to the random number table,48 cases in each group.The control group was treated with conventional TCRM,while the observation group was treated with TCRM under ultrasound monitoring.The perioperative indicator levels(intraoperative blood loss,operation time,postoperative anal exhaust time,ambulation time and hospitalization time),the uterine artery blood flow parameter levels[pulsatility index(PI),resistance index(RI)],the incidence of postoperative complications and the residual rate of fibroids were compared between the two groups before and after the surgery.Results:The intraoperative blood loss in the observation group was less than that in the control group;the t operation time,the anal exhaust time,the ambulation time,and the hospitalization time were all shorter than those in the control group;and the differences were statistically significant(P<0.05).The postoperative RI in the two groups was greater than that before the surgery,and the PI levels were less than those before the surgery;the PI level of observation group was greater than that of the control group,the PI level was less than that of the control group;and the differences were statistically significant(P<0.05).Further,the incidence of complications in the observation group was 6.25%,which was lower than 20.83%in the control group;the residual rate of fibroids in the observation group was 4.17%,which was lower than 16.67%in the control group;and the differences were statistically significant(P<0.05).Conclusions:TCRM under ultrasound monitoring in the treatment of the SM patients can reduce the amount of intraoperative blood loss,shorten the operation time,the postoperative anal exhaust time,the ambulation time and the hospitalization time,promote the recovery of

关 键 词：超声监视下 宫腔镜电切术 黏膜下子宫肌瘤 围术期指标 性激素 

分 类 号：R737.33[医药卫生—肿瘤]