摘要
目的探讨宫腔镜联合B超监测切除子宫黏膜下肌瘤的临床疗效及安全性。方法采用B超监护下联合宫腔镜电切术,对136例子宫黏膜肌瘤患者行宫腔镜电切术手术治疗,并进行术后系统的随访。结果 136例患者1次手术成功率为93.7%,手术时间为30～95min,平均(44.1±12.3)min。共切除肌瘤145个,肌瘤直径为2.3～5.6cm,平均直径(3.5±1.2)cm;切除肌瘤组织重量为13～81g,平均(37.2±11.7)g。术中出血量20～450mL,平均(32.8±11.2)mL。手术后月经均恢复正常,其中3例偶有痛经,2例术后18d出血,行2次内膜电凝治疗后痊愈,无子宫穿孔等并发症发生。结论宫腔镜联合B超监测治疗黏膜下子宫肌瘤疗效较好,值得临床推广,术中严格B超监测是提高手术安全性和术后疗效的保证。
[ Objective ] To explore the clinical efficacy and safety of hysteroscopy treatment for submucous my- oma under B ultrasonic monitoring. [ Methods ] Through hysteroscopy and B ultrasound monitoring, 136 cases with hysteromyoma underwent hysteroseopy tangential electric surgery treatment. The systematic postoperative followed- up was carried out. [Results] The success surgical rate of 136 patients was 93.7%. The operation time span was 30~95 minutes, average （44.1 ± 12.3） minutes. A total of 145 fibroids were removed, myoma diameter span was 2.3- 5.6cm, average （3.5 ± 1.2） cm; tissue weight span of removal fibroid was 13-81 g, average （37.2 ± 11.7） g. Blood loss span was 20-450 mL, average （32.8 ± 11.2） mL. After hysteroseopy surgery, all the 136 cases of menstruation re- turned to normal, 3 cases of dysmenorrhea occasionally, 2 cases hemorrhage afterl8 days, but finally heal by again endometrial electmeoagulation. None of the patient had uterine perforation and other complications. [ Conclusion ] It is a good method for hysteroscopy and ultrasound monitoring to treat submueosal hysteromyoma. It is worth being extended. The effects and safety of the operation could be ensured by strict B ultrasound monitor in the operation.
出处
《中国内镜杂志》
CSCD
北大核心
2012年第6期640-643,共4页
China Journal of Endoscopy
关键词
宫腔镜电切术
子宫黏膜肌瘤
临床疗效
hysteroscopic surgery
uterine submucous myoma
clinical analysis
