摘要
目的探讨宫腔镜检查和宫腔镜子宫肌瘤电切(TCRM)的方法及预后。方法对45例子宫肌瘤患者进行了TCRM手术,术前常规B超和宫腔镜检查,术中33例进行B超或腹腔镜监护。45例中0型子宫肌瘤24例,I型16例,Ⅱ型3例,多发黏膜下肌瘤2例。结果 45例患者的宫腔镜下切除肌瘤最大直径为5 cm。手术时间平均(75.41±43.83)min。术中无输血者,无并发症。术后月经改善情况:0型黏膜下肌瘤100%,Ⅰ型92.86%,Ⅱ型66.67%。术后痛经减轻的比例为84.61%。结论宫腔镜检查和TCRM切除黏膜下子宫肌瘤安全、有效,是子宫黏膜下肌瘤的首选治疗方法。
Objective To discuss the method and prognosis of hysteroscopy and hysteroscopic resection of uterine fibroids（TCRM）.Methods Forty-five cases of uterine fibroids received TCRM surgery with preoperative conventional B-ultrasound and hysteroscopy.Thirty-three patients were under B-ultrasound or laparoscopic monitoring during the operations.24 of 45 cases were type 0,16 cases were type I,3 cases were type II and two cases had multiple submucosal fibroids.Results The maximum diameter of hysteroscopic resection of fibroids was 5 cm.The mean operation time was（75.41±43.8） min（15~190） min.There were no blood transfusions and complications.The postoperative improvements of type 0 submucous myoma was 100%,type Ⅰ was 92.86% and type Ⅱ was 66.67%.The proportion of patients who had reduced dysmenorrheal was 84.61%.Conclusion Hysteroscopy and TCRM are safe and effective.TCRM is regarded as the first treatment to submucous myoma at present.
出处
《实用临床医药杂志》
CAS
2011年第17期84-86,共3页
Journal of Clinical Medicine in Practice
关键词
宫腔镜
平滑肌瘤
hysteroscopy
leiomyoma
