摘要
目的探讨超声引导下宫腔镜治疗内突型肌壁间子宫肌瘤的临床价值。方法选择烟台市莱阳中心医院2015年10月至2016年6月收治的内突型肌壁间子宫肌瘤患者96例为观察对象，采用随机数字表法分为两组各48例。对照组行常规官腔镜下肌瘤切除术，观察组则在对照组基础上采用超声引导定位指导下行宫腔镜下肌瘤剥除，观察两组手术时间、术中出血量及术后住院时间，比较两组术后复发及术后成功妊娠率。结果观察组手术时间（45．6±3．8）min，短于对照组的（59．8±8．5）min（t=10．566，P〈0．05）；观察组术中出血量（100．5±2．9）mL，少于对照组的（156．8±5．9）mL（t=59．332，P〈0．05），观察组术后住院时间（4．2±0．2）d，短于对照组的（6．5±0．3）d（t=44．195，P〈0．05）。观察组术后复发率（4．17％）低于对照组（31．25％）（X2=10．293，P〈0．05），术后成功妊娠率（68．75％）高于对照组（22．92％）％（X2=18．374，P〈0．05）。结论超声引导下官腔镜治疗内突型肌壁间子宫肌瘤，手术创伤小，术后恢复快，显著减少术后复发概率，提高妊娠率。
Objective To investigate the clinical value of ultrasonography -guided hysteroscopy in the treatment of uterine fibroids. Methods From October 2015 to June 2016,96 patients with uterine fibroids in Laiyang Central Hospital were selected as study objects ,and they were randomly divided into two groups ,with 48 cases in each group. The control group underwent conventional hysteroscopic myomectomy. The observation group was guided by ultrasonography to guide the hysteroscopic myoma stripping under the control group. The operation time, intraoperative blood loss and postoperative hospitalization were observed. The postoperative recurrence and postoperative success rate of pregnancy were compared between the two groups. Results The operation time in the observation group was （40.6 ±3.8） min, which was shorter than （ 59.8 ±8.5） min in the control group （ t = 10. 566, P 〈 0.05 ）. The intraoperative blood loss in the observation group was （ 100.5 ±2.9 ）mE, which was tess than （ 156.8 ±5.9 ） mL in the control group （ t = 59. 332 ,P 〈0.05）. The hospitalization time of the observation group was （4.2 ±0.2）d ,which was shorter than （6.5 ±0.3 ） d in the control group （ t = 44.195, P 〈 0.05 ）. The recurrence rate of the observation group （4.17 % ） was lower than that of the control group （31.25%） （X2 = 10.293 ,P 〈 0.05）. The postoperative pregnancy rate of the observation group （68.75%） was higher than that of the control group （22.92%） （X2 = 18. 374, P 〈 0.05 ）. Conclusion Ultrasound - guided hysteroscopy is effective in the treatment of intrauterine uterine fibroids with less trauma and faster postoperative recovery. It can significantly reduce the probability of recurrence and improve the pregnancy rate.
作者
徐杰
Xu Jie(Department of Obstetrics and Gynecology,Laiyang Central Hospital,Yantai,Shandong 265200,China)
出处
《中国基层医药》
CAS
2018年第17期2256-2258,共3页
Chinese Journal of Primary Medicine and Pharmacy
关键词
超声检查
宫腔镜
平滑肌瘤
Ultrasonography
Hysteroscopes
Leiomyoma
