B超监视下宫腔镜手术与腹腔镜手术切除Ⅰ型和Ⅱ型粘膜下子宫肌瘤后患者妊娠结局的临床研究  

Clinical study of pregnancy outcomes in patients after hysteroscopic surgery under B-ultrasound monitoring versus laparoscopic surgery for resection of typeⅠand typeⅡsubmucosal uterine fibroids

作　　者：张美琼 林秋兰 陈俞儒 ZHANG Meiqiong;LIN Qiulan;CHEN Yuru(School of Nursing,Guangdong Jiangmen Chinese Medicine College,Guangdong Province,Jiangmen 529000,China;Department of Gynecology,Wuyi Traditional Chinese Medicine Hospital of Jiangmen City,Guangdong Province,Jiangmen 529000,China)

机构地区：[1]广东江门中医药职业学院护理学院,广东江门529000 [2]广东省江门市五邑中医院妇科,广东江门529000

出　　处：《妇儿健康导刊》2024年第3期18-21,共4页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

基　　金：江门市医疗卫生领域科技计划项目(2021YL05005)。

摘　　要：目的比较B超监视下宫腔镜手术与腹腔镜手术切除Ⅰ型和Ⅱ型粘膜下子宫肌瘤的临床效果。方法选取2021年5月至2022年9月江门市五邑中医院收治的60例Ⅰ型和Ⅱ型粘膜下子宫肌瘤患者作为研究对象,根据不同术式分为对照组与研究组,每组各30例。对照组行腹腔镜手术,研究组行B超监视下宫腔镜手术,比较两组手术相关指标、临床疗效、并发症发生情况及随访结果。结果研究组术中出血量少于对照组,手术时间、首次离床时间、首次排气时间及住院时间短于对照组,术后6 h视觉模拟评分法评分低于对照组(P<0.05);两组Ⅰ型与Ⅱ型治疗有效率比较,差异无统计学意义(P>0.05);研究组并发症总发生率为3.33%,低于对照组的20.00%(P<0.05);研究组妊娠成功率与足月分娩率高于对照组,流产率与早产率低于对照组(P<0.05)。结论与腹腔镜手术相比,B超监视下宫腔镜手术效果更好,患者疼痛轻微,术后恢复快,可改善粘膜下子宫肌瘤切除术患者的妊娠结局。Objective To compare the clinical effect of hysteroscopic surgery under B-ultrasound monitoring and laparoscopic surgery in the resection of typeⅠand typeⅡsubmucous uterine fibroids.Methods A total of 60 patients with typeⅠand typeⅡsubmucous uterine fibroids in Wuyi Traditional Chinese Medicine Hospital of Jiangmen City from May 2021 to September 2022 were selected as the study subjects.All the patients were divided into the control group and the study group according to different operation methods,with 30 cases in each group.The control group received laparoscopic surgery,and the study group received hysteroscopic surgery under B-ultrasound monitoring.The operation related indicators,clinical efficacy,incidence of complications and follow up results were compared between the two groups.Results The intraoperative bleeding of the study group was less than that of the control group,and the surgical time,first time out of bed,first exhaust time and hospitalization time of the study group were shorter than those of the control group,and the score of visual analogue scale at 6 hours after surgery of the study group was lower than that of the control group(P<0.05).There was no statistically significant difference in the effective rate of treatment of typeⅠand typeⅡsubmucous uterine fibroids between the two groups(P>0.05).The total incidence of complications in the study group was 3.33%,which was lower than the 20.00%in the control group(P<0.05).The success rate of pregnancy and term delivery rate in the study group were higher than those in the control group,while the abortion rate and premature delivery rate were lower than those in the control group(P<0.05).Conclusion Compared with laparoscopic surgery,hysteroscopic surgery under B-ultrasound monitoring has better effects,with less pain and faster postoperative recovery,which can improve the pregnancy outcomes of patients undergoing submucous uterine fibroids resection.

关 键 词：B超监视下宫腔镜手术 腹腔镜手术 粘膜下子宫肌瘤 并发症 妊娠成功率 

分 类 号：R737.33[医药卫生—肿瘤]