钳夹联合宫腔镜下电切治疗0~Ⅱ型子宫黏膜下肌瘤临床疗效  

Clinical efficacy of clamp combined with hysteroscopic electrotomy in the treatment of type 0-Ⅱsubmucous myoma of uterus

作　　者：汪学美 王泽青 郑凤娇 潘丽贞[1] Wang Xuemei;Wang Zeqing;Zheng Fengjiao;Pan Lizhen(Department of Obstetrics and Gynecology,Nanping People′s Hospital Affiliated to Fujian University of Chinese Medicine,Nanping353000,China)

机构地区：[1]福建中医药大学附属南平市人民医院妇产科,南平353000

出　　处：《实用医技杂志》2024年第10期696-699,共4页Journal of Practical Medical Techniques

基　　金：福建省科技厅区域发展项目(2021Y3007)。

摘　　要：目的观察宫腔镜下电切联合钳夹治疗0~Ⅱ型子宫黏膜下肌瘤的临床疗效。方法选取2019年1月至2024年1月本院收治的0~Ⅱ型子宫黏膜下肌瘤患者90例,根据治疗方式分为治疗组和对照组各45例,治疗组采用卵圆钳、胆囊取石钳钳夹为主宫腔镜下电切为辅,对照组采用宫腔镜下电切为主的方法切除子宫黏膜下肌瘤,比较2组围手术期指标、临床疗效、术后肌瘤残留率、宫腔粘连率及肌瘤复发率。结果2组患者手术时间、膨宫量比较,治疗组明显少于对照组,差异有统计学意义(P<0.05);2组术中出血量比较,差异无统计学意义(P>0.05);术后6个月治疗组宫腔粘连率、肌瘤残留率及肌瘤复发率明显低于对照组,差异有统计学意义(P<0.05);治疗组临床有效率明显高于对照组,差异有统计学意义(P<0.05)。结论采用卵圆钳、胆囊取石钳钳夹为主宫腔镜下电切为辅的方法切除0~Ⅱ型子宫黏膜下肌瘤可明显缩短手术时间,减少膨宫量,降低宫腔粘连率、肌瘤残留率及复发率,不增加术中出血量,临床疗效显著。Objective To observe the clinical effect of hysteroscopic electrotomy combined with clamp in the treatment of type 0-Ⅱsubmucous myoma of uterus.Methods From January 2019 to January 2024,90 patients with type 0-Ⅱsubmucous myoma in our hospital were divided into treatment group and control group according surgery,with 45 cases in each group.The treatment group was treated with oval forceps and gallbladder lithotomy forceps,supplemented by hysteroscopic electrotomy,while the control group was treated with hysteroscopic electrotomy.The perioperative indicators,clinical efficacy,postoperative residual rate of myoma,intrauterine adhesion rate and recurrence rate of myoma were compared between the two groups.Results Compared with the control group,the operation time and uterine distension in the treatment group were significantly less,and the difference was statistically significant(P<0.05).There was no significant difference in intraoperative blood loss between the two groups(P>0.05).Six months after operation,the intrauterine adhesion rate,residual rate of myoma and recurrence rate of myoma in the treatment group were significantly lower than those in the control group,and the difference was statistically significant(P<0.05).The clinical effective rate of the treatment group was significantly higher than that of the control group,with statistical significance(P<0.05).Conclusion Using oval forceps and cholecystolithotomy forceps to resect 0-Ⅱsubmucous myoma can obviously shorten the operation time and reduce the amount of uterine distension.

关 键 词：子宫黏膜下肌瘤 宫腔镜 钳夹 临床疗效 

分 类 号：R737.33[医药卫生—肿瘤]