宫腔镜诊断和治疗黏膜下子宫肌瘤的临床实践(1)
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[摘要] 目的:探讨宫腔镜电切术(hysteroscopic transcervical resection of myoma,TCRM)治疗黏膜下子宫肌瘤的效果和安全性。方法:我院收治的子宫疾病1 266例,经B超和宫腔镜检查确诊为黏膜下子宫肌瘤428例,应用宫腔镜电切术治疗402例。术后随访6~24个月。结果:电切诊疗黏膜下子宫肌瘤402例均一次性成功。手术时间平均为35 min,手术出血量为25~100 ml,膨宫液用量为600~2 800 ml,切除肌瘤直径为1.0~6.2 cm,肿瘤数目1~4个。随访未发现并发症。结论:宫腔镜电切术是目前诊断和治疗黏膜下子宫肌瘤的最佳选择。
[关键词] 宫腔镜;黏膜下子宫肌瘤;电切术
[中图分类号] R737 [文献标识码]A [文章编号]1673-7210(2008)01(b)-066-02
Clinic practice of diagnosis and therapy of submucous myoma by hysteroscope
LUO Jin,HONG Gao-ming,GE Hua
(1st Affiliated Hospital of Inner Mongolia University of Science and Technology,Baotou014010,China)
[Abstract] Objective: To discuss the effectiveness and safety of submucous myoma treated by TCRM.Methods:Among 1 266 cases of uterine diseases,428 cases were diagnosed with submucous myoma by B supersonic and hysteroscope,among the 428 cases,402 cases were treatedby TCRM ......
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