摘要
目的探讨HEOS宫腔镜微剪分离术在治疗宫内节育器嵌顿中的应用价值。方法选取2017年1月至2018年6月妇科收治的63例宫内节育器嵌顿患者作为研究对象。根据手术方式分为两组,HEOS宫腔镜治疗32例为观察组,传统宫腔镜治疗31例为对照组。对两组患者术中情况(包括手术时间、术中出血量、膨宫介质差值),以及术后情况(包括手术成功率、手术并发症发生率及住院时间)分别进行比较。结果观察组手术时间为(19.80±9.63)min,术中出血量为(20.53±6.06)ml,膨宫介质差值为(353.18±195.30)ml;对照组手术时间为(26.10±12.15)min,术中出血量为(56.25±8.52)ml,膨宫介质差值为(570.27±280.90)ml,观察组均少于对照组,差异均有统计学意义(均P<0.05)。观察组手术成功31例(96.88%),发生手术并发症1例(3.13%),住院时间(10.53±2.06)h;对照组手术成功25例(80.65%),发生手术并发症6例(19.35%),住院时间(15.03±4.31)h,观察组手术成功率高于对照组,手术并发症发生率低于对照组,住院时间短于对照组,差异均有统计学意义(均P<0.05)。结论HEOS宫腔镜治疗宫内节育器嵌顿,成功率高,手术时间短,手术并发症发生率低,患者术后恢复快,安全有效,值得临床推广。
Objective To evaluate the application of HEOS hysteroscopic microsurgery in treatment of incarceration of intrauterine device.Methods Sixty-three patients with intrauterine device incarceration admitted in the gynecology department of Huzhou Maternal and Child Health Care Hospital from January 2017 to June 2018 were enrolled.The patients were divided into two groups:HEOS hysteroscopic microsurgery was performed in 32 cases(study group)and conventional hysteroscopic surgery was performed in 31 cases(control group).The operation time,intraoperative blood loss,difference of dilated uterine medium,success rate of operation,incidence of operative complications and length of hospital stay were compared between the two groups.Results The operation time(19.80±9.63 min vs 26.10±12.15 min),the intraoperative blood loss(20.53±6.06 ml vs.56.25±8.52 ml)and the difference of dilated uterine medium(353.18±195.30 ml vs.570.27±280.90 ml)of the study group were all less than those of the control group(all P<0.05).The successful rate of operation in study group was higher than that in control group(96.88%vs.80.65%,P<0.05),the operative complication rate of study group was lower than that of control group(3.13%vs.19.35%,P<0.05),the length of hospital stay in study group was shorter than that in control group(10.53±2.06 h vs.15.03±4.31 h,P<0.05).Conclusion HEOS hysteroscopic microsurgery is safe and effective for treatment of intrauterine device incarceration with advantages of higher success rate,shorter operation time,less complications and quicker recovery after operation.
作者
陈云燕
王家建
沈企隆
CHEN Yunyan;WANG Jiajian;SHEN Qilong(Department of Gynaecology and Obstetrics,Huzhou Maternal and Child Health Care Hospital,Huzhou 313000,China)
出处
《浙江医学》
CAS
2019年第12期1298-1300,1304,共4页
Zhejiang Medical Journal
关键词
HEOS宫腔镜
宫内节育器嵌顿
微剪分离术
HEOS hysteroscopy
Intrauterine device incarceration
Micro-splitting separation
