宫腔镜电切术在治疗宫颈良性病变中的应用

Applicant of hysteroscopic electroresection operation to cervix benign lesion

目的:探讨宫腔镜电切术治疗宫颈良性病变的疗效及价值.方法:2001年12月～2004年6月在我院门诊妇科检查或宫腔镜检查诊断为宫颈重度糜烂、宫颈肥大伴那氏囊肿、宫颈管息肉、宫颈管息肉样增生及宫颈肌瘤共380例.年龄25～45岁,宫颈细胞学检查Ⅰ～Ⅱ.应用宫腔镜锥形电切宫颈炎性组织或直接切除病变赘生物,切除组织全部行病理检查.术后全部随访2个月.结果:手术时间5～25 min,术中出血2～20 ml,380例术后2个月检查创面愈合100%,宫颈恢复正常大小、光滑、润泽.结论:宫腔镜电切治疗宫颈良性病变,尤其是宫颈重度糜烂、颈管内病变,治愈率高,操作简单、安全,病人痛苦小、损伤小,术中出血少,目的性强,精确度高,术后并发症少.

Objective： To determine the clinical effiencacy and value of treating cervix benign lesion by hysteroscopic electroresection operation. Methods： 380 women were diagnosed by gynecological physical examine or hysteroscopy as： cervical erosion Ⅰ～Ⅱ or cervical hypertrophy complicated with Rathke＇s cyst or cervical canal polyp or polyp hyperplysia of cervical canal or myoma of cervical, age from 25 -45 years old, cytologic diagnosis Ⅰ～Ⅱ. Apply taper electxosugical excisional procedure to the inflammation cervical tissue or resect the neoplasm of lesion directly. All the tissue resected was sent for pathological inspection. Follow up in the next 2 months. Results： Operation time range from 5 -25 rain, blood loss in operation range from 2 -20ml. The cut of 1130 percent of all the 380 cases resume entirely in the next 2 months. Cervix uteri resumed in normal size, velvet and lustering. Conclusion： Hysteroscopic electroresection operation is an efficient treatment to cervix benign lesion, especially to cervical erosion lesion of canalis cervicis uteri for its high cure rate; simple and safety; less pain, wound, blood loss, complication; specific intent and high accuracy.