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宫腔镜治疗粘膜下子宫肌瘤的临床应用 被引量:4

Hysteroscopic Surgery for Submucosal Myoma
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摘要 目的应用宫腔镜手术治疗各种粘膜下肌瘤,评价该手术的疗效及安全性.方法因异常子宫出血经宫腔镜检查确诊为粘膜下肌瘤,或妇检时发现宫颈粘膜下肌瘤,而行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共36例,其中宫颈肌瘤16例,宫体粘膜下肌瘤20例,术后随访1~30个月.根据术后月经改善情况,是否再次手术等评价手术疗效.结果应用宫腔镜手术治疗粘膜下肌瘤术后满意率为100%,全部手术无一例并发症发生.结论治疗粘膜下肌瘤,宫腔镜手术是最佳选择. Objective To treat every kind of submucosal myoma by hysteroscopic surgery and evaluate its effect and safety. Methods 36 cases of submucosal myoma which were diagnosed by hysteroscopy examination were performed transcervical resection of myoma and/or transcervical resection of endometrium, due to abnormal uterine bleeding. And there were16 cases of cervical myoma, 20 cases of uterine leiomyoma in all these cases. The period of follow - up was 1 - 30 months. On the basis of controlling bleeding, growth of myoma and subsequent surgery, the treatment results were appraised. Results The growth of myoma and bleeding were controlled in 100% of all patients after resection. There was no complication in all these operations. Conclusions Hysteroscopic treatment is the first choice for submucosal myoma.
出处 《昆明医学院学报》 2006年第3期74-75,79,共3页 Journal of Kunming Medical College
关键词 宫腔镜 粘膜下肌瘤 临床 Uterine leiomyoma Submucosal myoma Clinic
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参考文献4

  • 1乐杰.妇产科学[M](第5版)[M].北京:人民卫生出版社,2001.259.
  • 2冯力民,夏恩兰,段惠兰,张玫.宫腔镜手术治疗子宫肌瘤158例效果分析[J].中华妇产科杂志,1997,32(5):284-287. 被引量:67
  • 3TULANDI TOOK S.Endoscopic myomectomy:laparoscopy and hysteroscopy[J].Obstet Gynecol Clin North Am,1999,26 (1):135
  • 4ROMER T.HysterocopIc myoma resection of submucous myomas with largely intramural components[J].Zentralbl Gynaekol,1997,119 (8):374-374

二级参考文献3

  • 1顾美皎,妇产科保留功能性手术,1995年,316页
  • 2王淑贞,中国妇产科专家经验文集,1987年,472页
  • 3郁茵华,中华妇产科杂志,1984年,19卷,78页

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