摘要
目的:对宫腔镜双极电切除治疗239例子宫黏膜下肌瘤的临床疗效进行研究。方法:选取2011年3月至2012年7月在我院行宫腔镜下双极电切除的子宫黏膜下肌瘤患者239例为研究对象,其中0型126例,Ⅰ型72例,Ⅱ型41例,全部病例均采用宫腔镜下双极电切术进行治疗,对治疗后的临床疗效及手术安全性进行分析。结果:手术时间:0型和Ⅱ型与Ⅰ型相比,差异无统计学意义(t=1.9332,P>0.05)、Ⅱ型手术时间明显长于0型,差异有统计学意义(t=5.4168,P<0.05);出血量及住院时间:0型和Ⅰ型术中出血量明显低于Ⅱ型、住院时间明显少于Ⅱ型,差异有统计学意义(t=-12.9982,t=-11.6916;P<0.05);术后随访3个月,3种类型子宫黏膜下肌瘤经过治疗后,肌瘤残留相比差异无统计学意义(x2=5.1267,P<0.05);0型和Ⅰ型痛经改善的总有效率分别为97.56%和95.83%,与Ⅱ型68.29%相比差异有统计学意义(x2=26.6869,x2=16.3021;P<0.05)。结论:宫腔镜下双极电切术对于0型及Ⅰ型黏膜下子宫肌瘤疗效好,出血量少,恢复快,术前肌瘤分型对于估计手术难、易程度较为重要。
Objective： To study the effect and safty of hysteroscopic resection with dipolor electrodes for uterine submucosal myoma. Methods： A total of 259 cases of submucosal myoma of uterus were comfirmed in our hospital as the objects for the study. As for the 239 patients,126 showed type 0, 72 type Ⅰ and 41 type Ⅱ. Hysteroscopic resection with dipolor electrodes were performed in all the 259 cases. The effect and safty of hysteroscopic resection with dipolor electrodes for uterine submucosal myoma were analyzed. Results： There was no marked difference in operative time among type 0 and type Ⅱ with type I（t=1. 9332, P〉 0.05）.The operative time in type Ⅱ was significantly longer than in type 0（t=5.4168, P〈 0.05）. There was no significant difference in blood loss between type 0 and type Ⅰ （t=- 12.9982, t=- 11.6916; P〈0.05）. The blood loss in type 0 and type Ⅰ blood was significantly lower than that in typeⅡ. The hospital stay in type 0 and type Ⅰ was significantly less than that in the type Ⅱ （X2=5.1267, P=0.0728）. All the 259 patients were followed up for 3 months. There wasno marked difference in uterine fibroids residues among thee types of uterine submucosal fibroids after treatment（X2=5.1267, P=0.0728）. The alleviation rates of dysmenorrheal in type 0 and type Ⅰ were 97.56% and 95.83% respectively, it was significantly higher than that of 68.29 % In type Ⅱ, the difference was statistically significant （X2=26.6869,X2=16.3021; P〈0.05）. Conclusion： Hysteroscopic resection with dipolor electrodes has good efficacy for uterine submucosal myoma for type 0 and type Ⅰ.It shows the characteristic of less bleeding and recovery fastly. The determination of type of myoma before operation is more important for the surgical degree estimation.
出处
《中国医学装备》
2013年第5期78-80,共3页
China Medical Equipment
关键词
宫腔镜
双极电切术
黏膜下子宫肌瘤
Hysteroscopic
Bipolar resection
Uterine submucosal myoma
