摘要
目的:探讨3型子宫肌瘤宫腔镜切除术的可行性及对患者生殖预后的影响。方法:选取笔者所在医院妇科2018年5月-2019年1月收治的3型子宫肌瘤患者100例,随机分为两组,对照组行传统开腹手术,研究组行宫腔镜切除术,对比两组术中出血量及手术时间、术后肌层厚度恢复情况、术后卵巢储备功能、术后1年妊娠率及妊娠距手术结束时间。结果:研究组术中出血量少于对照组,手术时间短于对照组,差异均有统计学意义(P<0.05);术前两组子宫肌层厚度比较差异无统计学意义(P>0.05),术后研究组子宫肌层厚度高于对照组,差异有统计学意义(P<0.05);术前两组FSG、LH、E2、AFC比较差异无统计学意义(P>0.05),术后研究组各指标均高于对照组,差异均有统计学意义(P<0.05);研究组术后1年妊娠率高于对照组,妊娠距手术结束时间短于对照组,差异均有统计学意义(P<0.05)。结论:3型子宫肌瘤患者行宫腔镜切除术,可有效减少术中出血量,缩短手术时间,提高术后子宫肌层厚度恢复效果,改善卵巢储备功能恢复情况,提高术后妊娠率,说明行宫腔镜切除术的可行性较高,生殖预后质量较好。
Objective:To investigate the feasibility and effect of hysteroscopic hysterectomy for type 3 hysteromyoma.Method:A total of 100 patients with type 3 hysteromyoma admitted to the gynecology department of the author’s hospital from May 2018 to January 2019 were selected,and were randomly divided into two groups,the control group underwent traditional open surgery and the study group underwent hysteroscopic resection.Result:The amount of intraoperative blood loss in the study group was less than that in the control group,and the operation time was shorter than that in the control group,the differences were statistically significant (P<0.05).There was no statistically significant difference in myometrium thickness between the two groups before operation (P>0.05),and the myometrium thickness in the study group was higher than that in the control group after operation,the difference was statistically significant (P<0.05).There was no significant difference in FSG,LH,E2 and AFC between the two groups before surgery (P>0.05),after surgery,all indexes in the study group were higher than those in the control group,the differences were statistically significant (P<0.05).The rate of pregnancy 1 year after operation in the study group was higher than that in the control group,and the time between pregnancy and the end of operation was shorter than that in the control group,the differences were statistically significant (P<0.05).Conclusion:Hysteroscopic resection of type 3 hysteromyoma can effectively reduce intraoperative blood loss,shorten the operation time,improve the recovery effect of postoperative myometrium thickness,improve the recovery of ovarian reserve function,and improve the postoperative pregnancy rate,indicating that hysteroscopic resection is more feasible and has a good reproductive prognosis.
作者
王丽敏
WANG Limin(The Third People’s Hospital of Huizhou,Huizhou 516000,China)
出处
《中外医学研究》
2020年第25期17-19,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
惠州市科技计划项目(20190404)。
