宫腔镜黏膜下子宫肌瘤电切除术对黏膜下子宫肌瘤患者生殖预后及卵巢功能恢复的影响  

Effect of Hysteroscopic electrohysterectomy submucosal myoma on reproductive prognosis and ovarian function recovery in patients with submucosal myoma

作　　者：赵洪霞 张新艳 Zhao Hongxia;Zhang Xinyan(Department of Obstetrics and Gynecology,the 970 Hospital of the Joint Service Support Force of the Chinese People's Liberation Army,Yantai 264000,China)

机构地区：[1]中国人民解放军联勤保障部队第九七〇医院妇产科,山东烟台264000

出　　处：《实用妇科内分泌电子杂志》2024年第6期7-9,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探究黏膜下子宫肌瘤患者行宫腔镜黏膜下子宫肌瘤电切术对其生殖预后、卵巢功能恢复的影响。方法选取80例黏膜下子宫肌瘤患者,按照随机数字表法分为对照组及研究组,每组40例。对照组行腹腔镜子宫肌瘤剔除术(LM),研究组行宫腔镜子宫肌瘤电切术(TCRM)。比较两组手术效果。结果两组手术时间、妊娠率比较(P>0.05)。研究组术中出血量为(35.29±6.30)ml,少于对照组的(38.80±6.21)ml,术后肛门首次排气、下床活动及住院时间均短于对照组,首次妊娠距手术时间短于对照组(P<0.05)。对比两组术前、术后3个月促卵泡生成激素、促黄体生成素、雌二醇、窦卵泡数量(P>0.05)。结论TCRM、LM治疗黏膜下子宫肌瘤对患者卵巢功能的影响均较小,但TCRM在促进术后恢复、缩短首次妊娠时间方面更为有利。Objective To investigate the effect of hysteroscopic electrohysterectomy submucosal myoma on reproductive prognosis and ovarian function recovery in patients with submucosal myoma.Methods 80 patients with submucosal uterine fibroids were selected and were divided into a control group and a study group according to random number table method,with 40 cases in each group.The control group underwent laparoscopic myomectomy(LM),and the study group underwent hysteroscopic transcervical resection of myoma(TCRM).The operation effects of the two groups were compared.Results The operation time and pregnancy rate of the two groups were not statistically significant(P>0.05).The intraoperative blood loss in the study group was(35.29±6.30)ml,which was less than(38.80±6.21)ml in the control group,the first anal exhaust,getting out of bed activity and hospitalization time were shorter than those in the control group,and the time between first pregnancy and operation was shorter than that in the control group(P<0.05).The levels of follicle-stimulating hormone,luteinizing hormone,estradiol and antral follicle number before and 3 months after operation were not statistically significant the two groups(P>0.05).Conclusion TCRM and LM have little effect on ovarian function in the treatment of submucosal uterine fibroids,but TCRM is more beneficial in promoting postoperative recovery and shortening the time of first pregnancy.

关 键 词：子宫肌瘤 宫腔镜 电切除术 卵巢功能 生殖预后 

分 类 号：R737.33[医药卫生—肿瘤]