彩超监测联合宫腔镜手术治疗Ⅱ型子宫黏膜下肌瘤患者的疗效对比  

Comparison of the Efficacy of Color Ultrasound Monitoring Combined with Hysteroscopic Surgery for Patients with Type Ⅱ Submucosal Fibroids

作　　者：张志新 徐国飞 ZHANG Zhixin;XU Guofei(Department of Obstetrics and Gynecology,Guangrao Binhai Hospital,Dongying,Shandong Province,257000 China;Department of General Surgery,Dingzhuang Central Health Hospital,Dongying,Shandong Province,257000 China)

机构地区：[1]广饶滨海医院妇产科,山东东营257000 [2]丁庄中心卫生院普外科,山东东营257000

出　　处：《世界复合医学》2022年第10期55-58,共4页World Journal of Complex Medicine

摘　　要：目的分析彩超监测联合宫腔镜手术治疗Ⅱ型子宫黏膜下肌瘤患者的疗效。方法选取2019年9月—2021年9月在广饶滨海医院治疗的96例Ⅱ型子宫黏膜下肌瘤患者作为研究对象,采用随机数表法分为对照组(n=48)和研究组(n=48)。对照组患者进行宫腔镜手术治疗,研究组在宫腔镜手术治疗的基础上联合彩超监测,对比两组患者手术时间、术中出血量和术后不良反应发生率。结果研究组患者的手术时间为(55.98±15.53)min,短于对照组的(68.55±18.26)min,差异有统计学意义(t=3.633,P<0.05)。研究组术中出血量(41.98±13.81)mL较对照组(73.02±20.88)mL减少,差异有统计学意义(t=8.590,P<0.05)。研究组术后不良反应发生率为4.17%,低于对照组的16.67%,差异有统计学意义(χ^(2)=4.019,P<0.05)。结论对Ⅱ型子宫黏膜下肌瘤患者行彩超监测联合宫腔镜手术治疗可以减少术中出血量、缩短手术时间、降低术后发生不良反应发生率、手术疗效较好。Objective To analyze the efficacy of color ultrasound monitoring combined with hysteroscopic surgery in the treatment of patients with type Ⅱ submucosal fibroids.Methods 96 patients with type Ⅱ submucosal fibroids treated at Guangrao Binhai Hospital between September 2019 and September 2021 were selected as the subjects of this study.The random number table method was used to divide into control group(n=48)and study group(n=48).The control group was treated with hysteroscopic surgery and the study group was treated with hysteroscopic surgery combined with color ultrasound monitoring.The operative time,intraoperative bleeding and the incidence of postoperative adverse effects after treatment were compared between the two groups of patients.Results The operative time of patients in the study group was(55.98±15.53)min,which was shorter than the control group(68.55±18.26)min,and the difference was statistically significant(t=3.633,P<0.05).The intraoperative bleeding in the study group(41.98±13.81)mL was reduced compared to the control group(73.02±20.88)mL,and the difference was statistically significant(t=8.590,P<0.05).The incidence of postoperative adverse reactions in the study group was 4.17%,which was lower than the control group 16.67%,and the difference was statistically significant(χ^(2)=4.019,P<0.05).Conclusion Ultrasound monitoring combined with hysteroscopic surgery in patients with type Ⅱ submucosal fibroids can reduce intraoperative bleeding,shorten the operative time,reduce the probability of postoperative adverse effects,and have better surgical efficacy.

关 键 词：彩超监测 宫腔镜手术 Ⅱ型子宫黏膜下肌瘤 

分 类 号：R445[医药卫生—影像医学与核医学]