摘要
目的:探讨根据子宫肌瘤的大小和位置,用宫腔镜治疗子宫肌瘤的效果和安全性。方法:因月经改变、子宫异常出血、不孕症等,经B超、宫腔镜检查发现子宫粘膜下肌瘤326例,324例行宫腔镜电切术。结果:行宫腔镜手术患者其中Ⅰ型215例、Ⅱ型92例、Ⅲ型19例,手术满意率:Ⅰ型、Ⅱ型100%,Ⅲ型78.9%,2例未能切净转行腹腔镜筋膜内子宫切除术,2例行二期宫腔镜手术,发生并发症3例,发生率0.92%,其中术中出血2例,术后发热1例。结论:宫腔镜电切术治疗子宫肌瘤应根据子宫粘膜下肌瘤的大小和位置,采用不同的镜下处理方法,这对年轻患者特别是未孕患者具有重要意义。
Objective：To investigate the efficacy and safety of hysteroscopic electrosurgery in treatment of submucous hysteromyoma. Methods：Three hundred and twenty-six cases of submucous hysteromyoma were diagnosed by B-mode ultrasound and hysteroscopy. 324 cases underwent hysteroscopic electrosurgery. Results：There were 326 cases of submucous hysteromyoma, 322 cases underwent hysteroscopic electrosurgery successfully,there were 215 cases of type Ⅰ ,92 cases of type Ⅱ,19 cases of type Ⅲ. The rate of satisfaction of operation was 100% in type Ⅰ and type Ⅱ,2 cases of type Ⅲ underwent classic intrafascial supracervical hysterectomy （CISH） ,2 cases of type Ⅲ underwent hysteroscopic electrosurgery twice, there were 2 cases of intraoperative bleeding, 1 case of postoperation fever. No severe complication occurred. Conclusions： Hysteroscopic electrosurgery is an effective and safe surgery in treatment of submucous hysteromyoma. It is a better choice especially for young women with submucous hysteromyoma.
出处
《腹腔镜外科杂志》
2008年第4期309-310,共2页
Journal of Laparoscopic Surgery
