经宫腔镜与腹腔镜治疗子宫壁间肌瘤对患者卵巢功能及妊娠结局的影响  

Effect of Hysteroscopy and Laparoscopy on Ovarian Function and Pregnancy Outcome of Patients with Uterine Intramural Myoma

作　　者：段玉坤 王璟乐 DUAN Yu-kun;WANG Jing-le(Department of Gynecology,the First People's Hospital of Datong,Datong 037000,Shanxi,China)

机构地区：[1]大同市第一人民医院妇科,山西大同037000

出　　处：《医学信息》2022年第12期159-161,共3页Journal of Medical Information

摘　　要：目的 探究经宫腔镜与腹腔镜治疗子宫壁间肌瘤的效果,评估不同方案对患者卵巢功能及妊娠结局的影响。方法 选取我院2016年5月-2019年8月收治的73例子宫壁间肌瘤患者为研究对象,按照治疗方案分为宫腔镜组(36例)和腹腔镜组(37例)。宫腔镜组接受宫腔镜手术治疗,腹腔镜组接受腹腔镜手术治疗,比较两组手术情况、术后3个月月经恢复情况、卵巢功能及妊娠结局。结果 两组手术时间、术中出血量比较,差异无统计学意义(P>0.05);宫腔镜组术后排气时间和住院时间少于腹腔镜组,术后疼痛评分低于腹腔镜组,差异有统计学意义(P<0.05);术后3个月宫腔镜组月经期短于腹腔镜组,月经量评分低于腹腔镜组,差异有统计学意义(P<0.05);两组促卵泡生成素、黄体生成素、雌二醇水平比较,差异无统计学意义(P>0.05);宫腔镜组术后首次妊娠时间短于腹腔镜组,妊娠率高于腹腔镜组,差异有统计学意义(P<0.05)。结论 与腹腔镜子宫肌瘤切除术相比,宫腔镜手术对患者的创伤更小,可加快患者术后康复,促进月经及卵巢功能恢复,从而提高术后妊娠效率,值得临床应用。Objective To explore the effect of hysteroscopy and laparoscopy in the treatment of uterine intramural myoma,and to evaluate the effect of different schemes on ovarian function and pregnancy outcome of patients.Methods A total of 73 patients with uterine intramural myoma in our hospital from May 2016 to August 2019 were selected as the research objects,and they were divided into hysteroscopy group(36 cases) and laparoscopy group(37 cases) according to different treatment schemes.The hysteroscopic group was treated with hysteroscopic surgery,and the laparoscopic group was treated with laparoscopic surgery.The operation,menstrual recovery after 3 months,ovarian function and pregnancy outcome were compared between the two groups.Results There was no significant difference in operation time and intraoperative blood loss between the two groups(P>0.05).The postoperative exhaust time and hospitalization time of hysteroscopic group were less than those of laparoscopic group,and the postoperative pain score was lower than that of laparoscopic group,the difference was statistically significant( P<0.05).At 3 months after operation,the menstrual period of hysteroscopic group was shorter than that of laparoscopic group,and the menstrual volume score was lower than that of laparoscopic group,the difference was statistically significant(P <0.05).There was no significant difference in the levels of follicle-stimulating hormone,luteinizing hormone and estradiol between the two groups(P>0.05).The first pregnancy time in the hysteroscopy group was shorter than that in the laparoscopic group,and the pregnancy rate was higher than that in the laparoscopic group,the difference was statistically significant( P<0.05).Conclusion Compared with laparoscopic myomectomy,hysteroscopic surgery has less trauma to patients,can accelerate postoperative recovery,promote menstruation and ovarian function recovery,so as to improve the efficiency of postoperative pregnancy,which is worthy of clinical application.

关 键 词：子宫肌壁间肌瘤 宫腔镜 腹腔镜 妊娠结局 卵巢功能 

分 类 号：R737.33[医药卫生—肿瘤]