摘要
目的探讨前列腺双极等离子汽化电切术的安全性和有效性。方法我院2011年3月至2012年6月使用德国卡尔史托斯前列腺双极等离子汽化电切术治疗宫腔内良性病变42例,其中,子宫内膜息肉22例,子宫黏膜下肌瘤11例,宫颈肌瘤9例。对病种、手术时间、术中出血量、安全性、术后出血时间和预后进行效果分析。结果手术时间25~165min,平均时间(43.10±25.35)min,出血量5-100mL,平均出血量(16.31±15.10)mL。无一例术中大出血,无过度水化综合征发生。手术时间、出血量与宫腔内病变大小、深度成正比。术后随访3~12个月。结论前列腺双极等离子电切术治疗宫腔内良性病变具有安全、损伤小、恢复快、高效率等特点,宜于推广。
Objective To observe the safety and efficiency of Bipolar plasmakinetic transurethral resection of prostate. Methods From March 2011 to June 2012, by the use of Karl Storz bipolar plasmakinetic transurethral resection of prostate from Germany, benign pathological changes of uterine cavity was treated in 42 cases, including 22 cases of endometrial polyp, 11 cases of submucous uterine myoma and 9 cases of cervical myoma. Disease entities, operative time, blood loss, safety, duration of bleeding after operation and prognosis were analyzed. Results The average operative time was (43.10±25.35) min, the random of blood loss was from 5 to 100 mL, and average blood loss was (16.31±15.10) mL, without massive hemorrhage during the operation and excessive hydration syndrome. Operative time and blood loss were proportional to size and depth of uterine pathological changes. Postoperative follow-ups were arranged for 3 to 12 months. Conclusion Using Bipolar plasmakinetic transurethral resection of prostate to treat benign pathological changes of uterine cavity is a method with characteristics of safety, little injury, rapid recovery and high efficiency, which is worth promoting.
出处
《中国医药指南》
2013年第7期454-455,共2页
Guide of China Medicine
关键词
前列腺双极等离子电切术
治疗
宫腔内良性病变
Bipolar plasmakinetic transurethral resection of prostate
Treatment
Benign pathological changes of uterine cavity