摘要
目的评价应用双极电能治疗子宫黏膜下肌瘤的优势和安全性。方法应用官腔镜双极电切除子宫黏膜下肌瘤300例，其中0型212例，Ⅰ型54例，Ⅱ型34例。结果术中膨宫液总用量500～2000ml，平均626ml，手术时间20～50min，平均25min，术中出血量10—20ml。1例术中心脑综合征，经及时处理缓解。无一例因疼痛而中止手术。切除肌瘤直径3—5cm，平均3．8cm。1例术后病理为平滑肌肉瘤，术后10天行广泛全子宫切除及盆腔淋巴结清扫术。277例术后随访1—24个月，40例（Ⅰ型12例，Ⅱ型28例）需再次宫腔镜手术。结论宫腔镜下双极电治疗子宫黏膜下肌瘤具有安全、损伤小、恢复快、高效率等特点，宜于推广。
Objective To evaluate advantages and safety of bipolar electrodes for the treatment of submucosal myoma of uterus. Methods Three hundred patients with submucous myoma of uterus were performed with bipolar electrodes under hysteroscope, including 212 cases of type 0 submucous myoma, 54 cases of type Ⅰ, and 34 cases of type Ⅱ. Results Total volumes of uterine distention fluid used during operation were 500 - 2000 ml（ mean, 626 ml） ; operation time was 20 - 50 min （ mean, 25 min） ; intraoperative blood loss was 10- 20 ml. Cardio-cerebral syndrome occurred in one case and was relieved by timely treatment. There was no operation discontinuation as a consequence of pain. The diameters of resected myomas were 3 - 5 cm,with an average of 3.8 cm. The postoperative diagnosis showed leiomyosarcoma in 1 case and was performed by radical hysterectomy resection combined with a pelvic lymphadenectomy at 10 day postoperatively. During the follow-up period of 1 -24 months in 277 cases, 40 cases （type Ⅰ in 12 cases; type Ⅱ in 28 cases） needed hysteroscope operation again. Conclusions Hysteroscopic resection for submucosal myoma of uterus with dipolar electrodes has advantages of safety, minimal invasion, quicker recovery, higher efficiency, so it is worthy of being recommended.
出处
《中国微创外科杂志》
CSCD
2007年第9期901-902,共2页
Chinese Journal of Minimally Invasive Surgery
关键词
子宫黏膜下肌瘤
双极电切割
宫腔镜
Submucosal myoma of uterus
Bipolar electrodes
Hysteroscope
