摘要
目的 探讨宫腔镜下切除各种类型粘膜下子宫肌瘤的临床价值.方法 经宫腔镜切除子宫粘膜下肌瘤44例(B超监护29例),其中0型18例,Ⅰ型15例,Ⅱ型11例.结果 肌瘤大小10～20mm 5例,21～40mm 32例,41～60mm7例.0型及Ⅰ型子宫粘膜下肌瘤一次切除干净,Ⅱ型有1例分两次手术切除.术中出血量8.14±4.74mL,手术时间32.61±13.66min,术后住院时间3.09±0.88d,并发症1例为子宫穿孔.术后随访3～36个月,满意率0型和Ⅰ型为100%,Ⅱ型为90.91%,有效率100%.结论 宫腔镜下切除子宫粘膜下肌瘤是一种保留子宫及生育功能的微创手术,具有出血少、住院时间短、恢复快、安全、可靠等优点,是治疗子宫粘膜下肌瘤的最佳方法.
Objective To evaluate clinic value of hysteroscopic hysteromyomectomy for varied types of submucous hyeteromyomas and long-term outcomes.Methods 44 women with submucous hysteromyomas received hysteroscopic hysteromyomectomy(29 women's operations were performed on under ultrasonic direction).Type 0 of submucous hyeteromyomas were seen in 18 women,typeⅠin 15 women and type Ⅱin 11women.Results The size of submucous hysteromyomas of 5 women was between 10~20mm,that of 32 women was between 21~40mm and that of 7 women was between 41~60mm.The operation lasted for 32.61±13.66 minutes with intra-operative blood loss of 8.14±4.74mL.All women with type 0 or type I of submucous hysteromyomas underwent once operation,while those women with type Ⅱ of submucous hysteromyomas underwent 2 times of operation.The postoperative hospital stay was 3.09±0.88 days.1 woman was complicated with uterine perforation.All the patients were followed-up for 3~36 months after operation.The satisfactory rate of women with type 0 and type Ⅰ of submucous hysteromyomas was both 100%,while that of women with type Ⅱ was 90.91% and the total effective rate was 100%.Conclusion Hysteroscopic hysteromyomectomy is a minimally invasive operation that remains the uterus and fertility of the women with some advantages such as less intraoperative blood loss,shorter hospital stay,rapid recovery,safety and reliability,so it is an optimal choice for patients with submucous hysteromyoma.
出处
《中国妇幼健康研究》
2007年第5期452-453,共2页
Chinese Journal of Woman and Child Health Research
关键词
子宫肌瘤
宫腔镜
切除术
临床应用
hysteromyoma
hysteroscopy
resection
clinical application
