宫腔镜电切术治疗子宫黏膜下肌瘤26例
Hysteroscopic electrotomy for treating submucosal myoma of uterus in 26 cases
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摘要: 目的:探讨宫腔镜电切术治疗子宫黏膜下肌瘤的临床疗效及安全性。方法:46例子宫黏膜下肌瘤患者分为宫腔镜电切术(宫腔镜组)26例,剖腹手术(剖腹组)20例。比较2组手术时间、术中出血量、肛门排气时间、下床活动时间、住院时间及术后发热的发生率。结果:宫腔镜组较剖腹组手术时间短、术中出血量少(P0. 01)。宫腔镜组患者术后肛门排气时间、下床活动时间、住院时间均较剖腹组明显缩短(P0. 01)。宫腔镜组术后发热与剖腹组差异无统计学意义(0. 05)。结论:宫腔镜电切术治疗子宫黏膜下肌瘤疗效好,且安全,可成为治疗子宫黏膜下肌瘤的主要方法之一。Abstract: Objective: To explore the clinical efficacy and safety of hysteroscopic electrotomy in the treatment of submucosal myoma of uterus. Methods: Forty-six patients with submucosal myoma of uterus were divided into hysteroscopic operation group( 26 cases) and laparotomy group ( 20 cases ) . The time of operation，anal exhaust，ambulation and hospital stay，intraoperative blood loss and postoperative fever rate of two groups were analysed. Results: The operative time and intraoperative blood loss of hysteroscopic operation group were shorter or less than those in laparotomy group ( P ＜ 0. 01 ) . The time of anal exhaust，ambulation and hospital stay of hysteroscopic operation group were significantly shorter than those in laparotomy group( P ＜ 0. 01) . The postoperative fever cases in hysteroscopic operation group and that in laparotomy group the difference was not statistical significance( P ＞ 0. 05) . Conclusions:Hysteroscopic electrotomy in the treatment of submucosal myoma of uterus is good clinical efficacy and safety，which can be the first choice of treatment means.
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Key words:
- uterus disease /
- submucosal myoma of uterus /
- hysteroscopic electrotomy
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