宫腔镜与开腹手术治疗粘膜下子宫肌瘤的对照研究

Control study on the treatment of submucosal myoma in hysteroscopic surgery or hysterectomy

目的:探讨官腔镜子宫肌瘤切除术的手术方法、术后疗效及临床应用价值。方法:回顾性分析比较官腔镜治疗粘膜下子宫肌瘤34例(观察组)和因子宫肌瘤行子宫切除术42例(对照组)患者的手术和术后情况。结果:观察组手术时间(16．47±4．69)min,对照组手术时间(106．54±36．90)min(P<0．001)。观察组术中出血 (20．29±6．62)ml,对照组术中出血(96．19±49．53)ml(P<0．001)。观察组术后住院天数(4．38±0．82)d,对照组术后住院天数(8．33±2．50)d(P<0．001)。观察组术后排气时间(7．38±4．86)h,对照组术后排气时间 (35．33±15．75)h(P<0．001)。结论:官腔镜子宫肌瘤切除术具有创伤小、术中出血少、术后恢复快、住院时间短、免除开腹切除子宫之苦等优点,是目前治疗粘膜下子宫肌瘤的理想、有效、安全的方法。

Objective： To discusse the method, results and clinical value of TCRM. Methods. 34 patients treated by TCRM and 42 patients with myoma treated by hysterectomy（the size of utrine〈10w） were divided 2 groups . The duration of operation, bleeding volume during operation, hospital stay after operation, the time of bowel function recurrence and cost of hospitalization were compared by retrospective study. Results： There were significant differences in the duration of operation, bleeding volume duriag operation, hospital stay after operation and the time of bowel function recurrence between two groups （P〈0. 001）. Conclusion： Because of its rapid recovery, less pain, shorter duration of operation, little trauma and early discharge, TCRM is one of effective and safe methods to treat myoma.