宫腔镜治疗子宫肌瘤的临床应用
子宫肌瘤；粘膜下肌瘤；宫腔镜；电外科手术,,子宫肌瘤；粘膜下肌瘤；宫腔镜；电外科手术,1临床资料,方法,3结果,4讨论,参考文献
【摘 要】 目的 评价宫腔镜手术治疗子宫肌瘤的疗效及安全性。方法 经宫颈子宫肌瘤切除术或同时行经宫颈子宫内膜切除术者68例，粘膜下子宫肌瘤中0型32例，Ⅰ型26例，Ⅱ型10例。根据术后月经改善情况、剩余肌瘤有无增长、是否再次手术等将疗效分为满意和不满意。结果 应用宫腔镜手术治疗粘膜下子宫肌瘤，术后满意率为91.2%，0型、I型术后满意率达100%。Ⅱ型子宫肌瘤中切除范围≥70%者6例，术后随访残余肌瘤不再增长。全部手术无一例并发症发生。结论 治疗粘膜下子宫肌瘤，宫腔镜手术是最佳选择。正确选择手术适应证，严格B超监测是提高手术疗效和安全性的保障。【关键词】 子宫肌瘤；粘膜下肌瘤；宫腔镜；电外科手术
Clinical Analysis of Treating 68 Hysteromyomaes Through Hysteroscope WANG Haibo,ZHOU Ailing,YAN Xihong,et al.The 260 Hospital of PLA,Shijiazhuang 050041,China
【Abstract】 Objective To evaluate therapeutic effect and safety of hysteroscope operation in treating hysteromyoma. Methods 68 cases which 32 cases were type 0,26 type I and 10 type II were treated by hysteromyoma excision or endometrectomy simultaneously through cervix uteri.Curative effects were evaluated as satisfaction or dissatisfaction according to postoperation menstruation amendmen, remaining muscular tumor growth and repeated operation. Results The total satisfactory rate is 91.2%,and satisfactory rate of type 0 and I reached 100%.There were 6 cases of type Ⅱ which submucous myoma is ≥70%. Remaining muscular tumor have not growed in postoperation.There was no complication in all patients. Conclusion Hysteroscope operation is the best choice in treating submucous myoma.Selecting proper indication for operations,B ultrasonic monitoring severity are important for ensuring the opration effect and safety. ......
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