摘要
目的 探讨采用宫腔镜电切术治疗子宫黏膜下肌瘤及子宫内膜息肉的可行性、安全性及疗效. 方法 2002年1月～2004年7月,我院采用宫腔镜电切术治疗38例子宫黏膜下肌瘤和40例子宫内膜息肉,其中经宫颈子宫肌瘤切除术 （transcervical resection of myoma,TCRM）31例,TCRM联合经宫颈子宫内膜切除术（transcervical resection of the endometium,TCRE ）7例,经宫颈子宫内膜息肉切除术（transcervical resection of polyp, TCRP）35例,TCRP联合TCRE 5例. 结果 78例均一次顺利完成手术.术中出血≥400 ml 2例,水中毒1例,无子宫穿孔及术后感染.术后1、3、6、12个月随访,术后12个月时进行手术效果评定,闭经8例 （10.3%）,点滴月经12例 （15.4%）,少量月经33例 （42.3%）,正常月经量22例（28.2%）,无改善3例（3.8%）. 结论 宫腔镜电切术治疗子宫黏膜下肌瘤及子宫内膜息肉安全性高,并发症少.
Objective To study the feasibility, safety, and efficacy of hysteroscopic treatment of submucous leiomyomas and endometrial polyps. Methods Hysteroscopic resections were performed in 38 cases of submucous leiomyomas and 40 cases of endometrial polyps from January 2002 to July 2004, including 31 cases of transcervical resection of myoma （ TCRM ） , 7 cases of TCRM combined with transcervical resection of the endometrium （TCRE） , 35 cases of transcervical resection of polyp （TCRP） , and 5 cases of TCRP combined with TCRE. Results The operation was completed smoothly on one session in all the 78 cases. The intraoperative blood loss was ≥ 400 ml in 2 cases. There were 1 case of overhydration. No uterine perforation or infection occurred after operation. The patients were followed at 1, 3, 6, and 12 months after operation, respectively, and the surgical outcomes were assessed at 12 postoperative months. Follow-up findings revealed 8 cases of amenorrhea （ 10. 3% ） , 12 cases of irregular spotting （15.4%）, 33 cases of hypomenorrhea （42.3%）, 22 cases of normal menstrual flow （28.2%）, and 3 cases of no improvement （3.8%）. Conclusions Hysteroscopic resections for submucous leiomyomas and endometrial polyps offer advantages of good reliability and fewer complications, being worthy of recommendation.
出处
《中国微创外科杂志》
CSCD
2006年第6期456-458,共3页
Chinese Journal of Minimally Invasive Surgery
