宫腔镜电切术治疗宫颈良性病变的临床研究

Clinical study on treatment of cervical benign lesion by operative hysteroscopy

目的：探讨宫腔镜电切术治疗宫颈良性病变的疗效。方法：应用电视宫腔镜电切宫颈管良性赘生物及宫颈炎性增生组织，切除组织送病检，治疗150例随访136例，随访1～12个月。结果：平均手术时间15min，术中出血5—20ml，6．6％脱痂出血超过月经量，经对症治疗止血，一次性治疗有效率达100％，94％宫颈恢复正常，随访年无复发。结论：治疗宫颈良性病变首选宫腔镜电切术，它具有创伤小，痛苦轻，恢复快，并发症少等优点，值得临床推广。

Objective： To determine the value of operative hysteroscopy for the treatment of cervical benign lesion. Methods： 150 eases were treated by hysteroseopy. All of the cases were examined for pathology. 136 cases were followed up for 1 - 12 months after operation. Results： The average operation time was 15 minutes. The bleeding quantity was 5 - 20 ml during operation. 6. 6% of cases exceeded quantity of menstruation because of deerustation. Bleeding was stoped after compression. Primary healing rate of cervical benign lesion was 100% and 94% cervix became normal 2 months after operation. No case reeured in follow up after 1 year. Conclusion： For treatment of cervical benign lesion, operative hysteroseopy is the chief choice. It has advantages of little damage to tissue, rapid recovery, little complication and discomfort.