摘要
目的分析B超引导下宫腔镜手术治疗黏膜下子宫肌瘤的临床效果。方法回顾性分析2017年1月至2018年12月本院收治的75例黏膜下子宫肌瘤患者的临床资料,按不同手术方法分为开腹组(n=30)与宫腔镜组(n=45)。开腹组采用开腹手术,宫腔镜组采用B超引导下宫腔镜手术,比较两组手术情况、并发症发生率及复发率。结果宫腔镜组围术期指标均低于开腹组(P<0.05)。术后3个月,宫腔镜组月经周期长于开腹组,经期短于开腹组,经量多于开腹组(P<0.05)。宫腔镜组并发症发生率为4.44%,低于开腹组的26.67%(P<0.05)。宫腔镜组术后24个月复发率为2.22%,开腹组复发率为6.67%,比较差异无统计学意义。结论 B超引导下宫腔镜手术治疗黏膜下子宫肌瘤,安全性高,复发率低,可作为最佳手术方案。
Objective To analyze the clinical effect of hysteroscopic surgery under the guidance of B-ultrasound in the treatment of submucosal uterine fibroids. Methods The clinical data of 75 patients with submucosal uterine fibroids admitted to our hospital from January 2017 to December2018 were retrospectively analyzed. According to different surgical methods, they were divided into laparotomy group(n=30) and hysteroscopy group(n=45). The laparotomy group was performed open surgery, and the hysteroscopy group was performed hysteroscopic surgery under the guidance of B-ultrasound. The operation status, complication rate and recurrence rate between the two groups were compared. Results The perioperative indexes of the hysteroscopy group were lower than those of the laparotomy group(P<0.05). 3 months after the operation, the menstrual cycle in hysteroscopy group was longer than that of the laparotomy group, the menstrual period was shorter than that of the laparotomy group, and the menstrual volume was more than that of the laparotomy group(P<0.05). The complication rate was 4.44% in hysteroscopy group, which was lower than 26.67%of the laparotomy group(P<0.05). The recurrence rate in the hysteroscopy group was 2.22% at 24 months after the operation, and the recurrence rate in the laparotomy group was 6.67%, and the difference was not statistically significant. Conclusion Hysteroscopic surgery under the guidance of B-ultrasound for the treatment of submucosal uterine fibroids has high safety and low recurrence rate, which can be used as the best surgical plan.
作者
黄铁莲
HUANG Tielian(Department of Gynecology,Second People's Hospital of Taizhou City,Jiangsu Province,Taizhou,Jiangsu,225500,China)
出处
《当代医学》
2022年第5期45-48,共4页
Contemporary Medicine
关键词
B超
宫腔镜手术
开腹手术
黏膜下子宫肌瘤
复发
并发症
B-ultrasound
Hysteroscopic surgery
Open surgery
Submucosal uterine fibroids
Recurrence
Complications
