摘要
目的评价宫腔镜手术治疗子宫肌瘤的疗效及安全性。方法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68例,粘膜下子宫肌瘤中0型32例,Ⅰ型26例,Ⅱ型10例。根据术后月经改善情况、剩余肌瘤有无增长、是否再次手术等将疗效分为满意和不满意。结果应用宫腔镜手术治疗粘膜下子宫肌瘤,术后满意率为91.2%,0型、I型术后满意率达100%。Ⅱ型子宫肌瘤中切除范围≥70%者6例,术后随访残余肌瘤不再增长。全部手术无一例并发症发生。结论治疗粘膜下子宫肌瘤,宫腔镜手术是最佳选择。正确选择手术适应证,严格B超监测是提高手术疗效和安全性的保障。
Objective To evaluate therapeutic effect and safety of hysteroscepe operation in treating hysteromyoma. Methods 68 cases which 32 cases were type 0,26 type Ⅰ and 10 type Ⅱ were treated by hysteromyoma excision or endometrectomy simultaneously through cervix uteri. Curative effects were evaluated as satisfaction or dis-satisfaction according to post-operation menstruation amendmen, remaining muscular tumor growth and repeated operation. Results The total satisfactory rate is 91.2%, and satisfactory rate of type 0 and Ⅰ reached 100%. There were 6 cases of type Ⅱ which submucous myoma is 970%. Remaining muscular tumor have not growed in post-operation.There was no conrplication in all patients. Conclusion Hysteroscepe operation is the best choice in treating submucous myoma. Selecting proper indication for operations, B ultrasonic monitoring severity are important for ensuring the opration effect and safety.
出处
《白求恩军医学院学报》
2007年第1期13-14,21,共3页
Journal of Bethune Military Medical College
