宫腔镜子宫肌瘤电切术的临床应用

Clinical Application of Transcervical Resection of Myoma

目的探讨宫腔镜子宫肌瘤电切术的临床疗效.方法前瞻性分析我院2005年1月至2008年1月行宫腔镜子宫肌瘤电切术的94例子宫肌瘤患者.结果94例患者一次手术成功,手术时间短,术中出血少,无1例子宫穿孔.手术前后血红蛋白和血钠比较差异无统计学意义(P>0.05).术后3月随访,血红蛋白明显高于手术前(P<0.01).全部月经恢复正常或减少,无宫腔粘连.1例无蒂性粘膜下肌瘤术后3月,再发肌瘤.希望生育的29例患者中,术后3月试行妊娠,11例妊娠成功.结论宫腔镜子宫肌瘤电切术操作简单、精确、出血少、并发症少及疗效明显,是治疗子宫粘膜下肌瘤的首选方法.

Objective To explore the clinical effect of transcervical resection of myoma. Methods Prospective analysis was done according to 94 cases with transcervical resection of myoma from Jan. 2005 to Jan. 2008. Results All of transcervical resection of myoma were done only once, the time of operation was short, the amount of bleeding was little, none of 94 cases was died. To contrast before with after operation, the difference of haemoglobin and sodium wasn＇ t statistical significant （P 〉 0.05 ）. The difference of haemoglobin was statistical significant （P 〈 0.01） after operation three months.All of cases＇ menstrual resumed or reduced, none appeared adhesion in uterine. One case with no beattie of sbmucosal uterine fibroids appeared myoma again after operation three months, of 29 cases hoping to pregnant, 11 cases sucessed after operation three months. Conclusions Transcervical resection of myoma is simple and precise, the bleeds and complications are few, the clinical effect is remarkable. Transcervical resection of myoma is the first choice in the treatment of sbmucosal uterine fibroids.