宫腔镜异物钳治疗带蒂粘膜下子宫肌瘤  

Use of Foreign Body Forceps to Remove Pedunculated Submucous Myomas in Outpatient Clinic

作　　者：张健[1] 孙菊芳[1] 丁美芳[1] 

机构地区：[1]中国福利会国际和平妇幼保健院,上海200030

出　　处：《上海第二医科大学学报》2003年第5期452-454,共3页Acta Universitatis Medicinalis Secondae Shanghai

摘　　要：目的 探讨门诊异物钳治疗带蒂粘膜下子宫肌瘤的效果。方法 2000.4～2002.6在门诊B超监护下,宫腔镜检查明确诊断后应用异物钳进行治疗的54例带蒂粘膜下肌瘤的患者,分析手术成功率、并发症及随访结果。结果 54例中48例(89％)治疗成功,平均手术时间17min,平均术时出血11ml;肌瘤直径最大3cm,最小约1cm;瘤蒂直径0.5～1.8cm。单枚粘膜下肌瘤39例,多枚9例,最多有3枚。术时无1例严重并发症。术后随访完全满意率及满意率为100％。结论 对肌瘤直径≤3cm、瘤蒂直径≤1.8cm的粘膜下子宫肌瘤,门诊异物钳治疗是安全、简便而有效的方法。Objective To investigate effectacy of the foreign body forceps to remove peduncula-ted submucous myomas. Methods The pedunculated submucous myomas in 54 patients were removed by the foreign body forceps after diagnostic hysteroscopy under surveillance of ultrasonography from 2000. 4 to 2002.6 in our outpatient clinic. The success rate, surgical procedure , appropriate guidelines , complications within operation, and the effect after follow - up outcomes were investigated. Results Of these 54 maneuver 48(89% ) were successful. The mean time at operation was 17min,the mean blood loss was llml;the maximum arid minimum diameter of the myomas was about 3 and 1cm;the maximum and minimum diameter of the peduncle was about 1. 8 and 0. 5cm, respectively. Thirty nine patients presented single submucous myoma and 9 multiple,the most was three. There were no any serious complication among all of successful patients; the rate of complete satisfation and satisfaction was 100% in the surgical follow-up. Conclusion Removal by the foreign body forceps is safe, convenient and effective treatment in outpatient clinic, in case the diameter of submucous myoma is @3cm and the diameter of pedecle is @1.8cm.

关 键 词：粘膜下子宫肌瘤 手术治疗 宫腔镜 异物钳 

分 类 号：R737.33[医药卫生—肿瘤] R730.56[医药卫生—临床医学]