摘要
目的 :探讨宫腔镜电切术治疗子宫内良性病变的疗效及其安全性。方法 :应用连续灌流式宫腔镜 ,对 1 4 2例子宫良性占位病变进行宫腔镜电切手术治疗 ,其中子宫粘膜下肌瘤 2 4例 ,内凸型子宫壁间肌瘤 2 2例 ,子宫内膜息肉 8例 ,子宫腺肌瘤 2例 ,宫颈肌瘤 2 5例 ,宫颈息肉 39例 ,宫颈宫腔复合占位病变 2 2例。随诊 1～ 1 2个月。结果 :所有患者均一次手术成功 ,无明显手术并发症 ,切除瘤体直径 0 .5～ 8.0cm。宫腔电切术的手术时间 1 5～ 70min ,平均 48min ,术中估计出血量约 1 0～ 1 30ml。宫颈电切术的手术时间 3～ 60min ,平均 2 4min ,术中估计出血量约 5～ 50ml。全部患者的临床症状均得到显著改善 ,一次治疗总有效率达 1 0 0 %。结论 :治疗子宫内良性占位病变首选宫腔镜电切术 ,它具有安全、有效、创伤小、并发症少、恢复快等优点。
Objective:To assess the efficacy and safety of hysteroseopic electroresection in treating intrauterine benign tumor lesion. Methods:One hundred and forty-two women with intrauterine benign tumor lesion receive d hysteroscopic transcervical resection with a continuous flow hysteroscope.The y consisted of 24 with submucous myoma, 22 with intramural myoma of protrusive u terine cavity, 8 with polyp of endometrium, 2 with endometrioma, 25 with cervica l myoma, 39 with cervical polyp and 22 with cervicouterine tumor. Total cases were followed up for 1～12 months after operation.Results:All the operations were carried out successfully, no ope rative complication.The size of myoma (in diameter) was 0.5～8.0cm. Operation du ration of uterine cavity was 15～70 minutes (medium time 48 min), blood lose was 10～130ml. Operation duration of cervix was 5～60 minutes (medium time 24 min), blood lose was 5～50ml. Clinical symptoms were relivered significantly in all c ases. Primary healing rate of intrauterine benign neoplasm lesion is 100%.Conclusions:For treatment of intrauterine benign tumor lesion, operative hysteroscopy was the chief choice. It has advantages of highly effect ive, safe, little damage to tissue, little complication and rapid recovery. But its long-term efficacy is yet to be identified.
出处
《中国内镜杂志》
CSCD
2003年第6期37-38,41,共3页
China Journal of Endoscopy
