宫腔良性疾病行超声监测下宫腔镜电切术的临床分析  

Clinical analysis of benign uterine diseases undergoing hysteroscopic electrotomy under ultrasonic monitoring

作　　者：年妍[1] 哈春芳[1] 米英[1] 魏蒙 NIAN Yan;HA Chunfang;MI Ying;WEI Meng(Department of Gynecology,General Hospital of Ningxia Medical University,Yinchuan 750004,China;Ningxia Medical University,Yinchuan 750004,China)

机构地区：[1]宁夏医科大学总医院妇科,宁夏银川750004 [2]宁夏医科大学,宁夏银川750004

出　　处：《宁夏医学杂志》2022年第10期910-913,共4页Ningxia Medical Journal

基　　金：国家妇产疾病临床研究中心宁夏分中心平台建设项目(2019485)。

摘　　要：目的 探讨超声监测在宫腔镜电切术中的临床应用价值。方法 回顾性分析因宫腔良性疾病行进术中监测下宫腔镜电切术的患者362例,其中超声监测234例为观察组,腹腔镜监测128例为对照组。比较2组患者术中出血量、手术时间、术中并发症、平均住院日、术后2个月宫腔恢复正常形态及超声检查无宫腔占位、术后并发症等的差异,并进行分析。结果 观察组术中出血量、手术时间、术中并发症发生率、平均住院日均低于对照组,差异有统计学意义(P<0.05);观察组术后宫腔恢复正常形态率及超声检查宫腔无占位率均明显高于对照组,差异有统计学意义(P<0.05);2组术后并发症率差异无统计学意义(P>0.05)。结论 超声监测下进行宫腔镜电切术不仅能精确切除病变组织,又能最大程度避免术中并发症的发生,进一步提高手术的有效性与安全性,超声检查应成为宫腔镜电切手术监测的首选方法。Objective To investigate the clinical value of ultrasonic monitoring in hysteroscopic electrotomy.Methods A retrospective analysis was performed on 362 cases of patients who underwent hysteroscopic electrotomy under intraoperative monitoring for benign uterine cavity diseases, including 234 cases monitored by ultrasound(observation group)and 128 cases monitored by laparoscopy(control group).The amount of intraoperative blood loss, operation time, intraoperative complications, average length of hospital stay, normal uterine cavity restoration 2 months after operation, no occupation of uterine cavity and postoperative complications were compared and analyzed between the two group.Results The amount of intraoperative blood loss, operation time, incidence of intraoperative complications and average hospital day in the observation group were lower than those in the control group, and the differences were statistically significant(P<0.05).In the observation group, the rate of normal postoperative uterine cavity recovery and the rate of non-occupying uterine cavity by ultrasonography were significantly higher than those in the control group(P<0.05),while there was no statistically significant difference in the rate of postoperative complications between the two groups(P>0.05). Conclusion The hysteroscopic electrotomy under ultrasonic monitoring can not only accurately remove the pathological tissue,but also avoid the occurrence of intraoperative complications to the greatest extent,and further improve the effectiveness and safety of the surgery. Ultrasound should be the preferred method for monitoring the hysteroscopic electrotomy.

关 键 词：宫腔良性疾病 宫腔镜电切术 超声监测 

分 类 号：R445.1[医药卫生—影像医学与核医学]