摘要
目的分析不同类型黏膜下子宫肌瘤患者行宫腔镜手术治疗对临床效果及妊娠结局的影响。方法选取2017年1月~2018年1月我院收治的304例黏膜下子宫肌瘤患者作为研究对象,随机分为实验组和对照组,每组各152例。实验组采用宫腔镜手术治疗,对照组采用开腹手术治疗。比较两组的临床治疗效果及对妊娠结局的影响。结果实验组总体治疗有效率显著高于对照组,差异有统计学意义(P<0.05);实验组0型患者的治疗总有效率高于Ⅰ和Ⅱ型(P<0.05),实验组Ⅰ和Ⅱ型的治疗总有效率比较,差异无统计学意义(P>0.05);实验组手术时间及住院时间均显著短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05);实验组足月生产率远高于对照组,同时实验组组内分析0型患者足月生产率显著高于Ⅰ和Ⅱ型,流产、早产、难产、子宫破裂低于Ⅰ和Ⅱ型,差异有统计学意义(P<0.05)。结论宫腔镜手术治疗黏膜下子宫肌瘤具有较好的疗效,尤其是对0型肌瘤患者疗效更加明显,同时可显著改善患者再次妊娠结局,对0型肌瘤患者妊娠结局影响更加明显。
Objective To analyze the effect of hysteroscopic surgery on the clinical outcome and pregnancy outcome of patients with different types of submucosal uterine fibroids.Methods A total of 304 patients with submucous uterine fibroids admitted to our hospital from January 2017 to January 2018 were enrolled.They were randomly divided into experimental group and control group,152 cases in each group.In the experimental group,hysteroscopic surgery was used,and in the control group,laparotomy was adopted.The clinical effect of the two groups and the impact on pregnancy outcomes were compared.Results The overall therapeutic effectiveness rate of the experimental group was significantly higher than that of the control group(P<0.05).The effectiveness rate of the experimental group in type 0 was higher than that of typeⅠand typeⅡ(P<0.05).There was no significant difference in the effective rate between the patients with typeⅠand typeⅡ(P>0.05).The operation time and hospital stay of the experimental group were much shorter than those of the control group with statistical significances(P<0.05),intraoperative blood loss of the experimental group was less than that in the control group with statistical difference(P<0.05).The full-term delivery rate of the experimental group was much higher than that of the control group.At the same time,the full-term delivery rate in type 0 in the experimental group was significantly higher than that of typeⅠand typeⅡ,the abortion,premature delivery,dystocia,uterine rupture rates were lower than those of typeⅠand typeⅡ,with statistical differences(P<0.05).Conclusion Hysteroscopic surgery has a good curative effect on submucous uterine fibroids,especially for patients with type 0 fibroids.Besides,it can remarkably improve the outcome of re-pregnancy and has a more obvious effect on the pregnancy outcome of patients with type 0 fibroids.
作者
孙光
臧丹丹
SUN Guang;ZANG Dan-dan(Department of Obstetrics and Gynecology,Panjin Central Hospital,Liaoning Province,Panjin 124000,China;Department of Pathology,Panjin Central Hospital,Liaoning Province,Panjin 124000,China)
出处
《中国当代医药》
2019年第29期125-127,132,共4页
China Modern Medicine
关键词
黏膜下子宫肌瘤
宫腔镜手术
临床疗效
妊娠结局
Submucosal uterine fibroids
Hysteroscopic surgery
Clinical efficacy
Pregnancy outcome
