摘要
目的:探讨宫腔镜手术治疗宫颈良性病变的临床应用价值。方法:用宫腔镜手术治疗宫颈良性病变298例。其中,环状锥形切除治疗慢性宫颈炎251例(中度宫颈糜烂83例,重度宫颈糜烂168例);切除宫颈内突肌瘤47例(有蒂肌瘤21例,无蒂肌瘤26例)。术后随访3～31个月。结果:宫腔镜锥形切除治疗手术之后2个月左右,治疗的一次成功率为98.01%。有90.43%左右的患者宫颈恢复到了正常的大小。表面润泽,光滑。患者在宫腔镜切除肌瘤之后的一个月治疗的成功率为100%。38例患者的出血情况得到了有效治疗。结论:宫腔镜锥形电切宫颈治疗慢性宫颈炎治愈率高,操作简便、安全,术后并发症少;宫腔镜电切治疗宫颈内突肌瘤是最佳选择。
Objective ：To evaluate the curative effect of hysteroscopy to treat cervical benign lesion. MethodsTwo hundred ninty - eight cases of cervical benign lesion （251 chronic cervicitis and 47 cervical subserousmyoma） treated by hysteroscopy were observed. All patients were followed up from 1 to 31 months. Results Thepostoperative curative rate of cervical erosion after 2 months was 98.01% and subserous myoma after 1 month waslO0%. CondusionThe curative rate of hysteroscopic electroresection is high in the treatment of cervical benign lesion. Being simple and safe,it is the best choice for subserous myoma with less complication.
关键词
宫腔镜
电外科手术
慢性宫颈炎
宫颈肌瘤
Hysterescope
galvanosurgery
chronic cervicitis
cervical myoma
