摘要
目的探讨宫腔镜电切术治疗黏膜下子宫肌瘤的疗效及其安全性。方法回顾性分析2004年1月—2006年1月我院经宫腔镜联合B超检查诊断并治疗的子宫黏膜下肌瘤156例（0型67例、Ⅰ型89例）。术前B超测量肌瘤径线1.0～2.0 cm 33例、2.1～4.0 cm 95例、4.1～6.0 cm 28例。结果切除病理组织质量最轻15 g,最重200 g;平均手术时间28 min（10～60 min）;平均住院时间4.9 d（3～7 d）;术后病理黏膜下子宫平滑肌瘤134例,黏膜下子宫腺肌瘤22例。156例患者子宫黏膜下肌瘤均1次切净。未出现宫腔感染、子宫穿孔、大出血等并发症。术后随访1年无肌瘤复发,月经周期规则、经量减少、贫血纠正,手术满意度100%。结论宫腔镜电切术治疗黏膜下子宫肌瘤是安全、可靠的最佳方法。
Objective To discuss the efficacy and the safety of hysteroscope electrotomy in treatment of submucous hysteromyoma. Methods From January 2004 to January 2006, 156 cases of submucous hysteromyoma diagnosed by hysteroscopy and B-type ultrosonography were undergone hysteroscope electrotomy in our hospital. Sixty seven cases of hysteromyoma were in type 0 and 89 cases were type Ⅰ. There were 33 cases of hysteromyoma in size of 1. 0 cm to 2.0 cm, 95 cases in size of 2.1 cm to 4.0 cm and 28 cases in 4. 1 cm to 6.0 cm by B-type ultrosonography detection. All cases was monitored by ultrasound during operations and followed up after operation. Results The lightest pathologic tissue cut in the operation was 15 g and the heaviest was 200 g. The mean operating time was 28 minutes （10 -60 min）. The mean time of hospital stay was 4.9 d （3 - 7 d）. Postoperation pathology showed that there were 134 cases of submucous leiomyoma and 22 cases of submucous adenomyoma. All cases of submucous hysteromyomas in type 0 and Ⅰ were resected successfully at one time. No complications such as uterine infection, perforation, bleeding occurred. No hysteromyoma recurred, the menstrual cycles were regulated and menstrual blood volume decreased and anaemias were corrected in 1 year following up. The rate of satisfaction of operation was 100%. Conclusion Hysteroscope electrotomy is a safe and reliable technique in treatment of submucous hysteromyoma.
出处
《同济大学学报（医学版）》
CAS
2008年第3期115-117,共3页
Journal of Tongji University(Medical Science)
关键词
子宫肌瘤
宫腔镜
电切术
hysteromyoma
hysteroscope
electrotomy
