宫腔镜手术治疗黏膜下子宫肌瘤44例临床分析

Clinical Analysis of the Treatment for Submucous Hysteromyoma by Hysteroscope Surgery in 44 Cases

目的：探讨宫腔镜手术治疗不同类型黏膜下子宫肌瘤的疗效及其安全性。方法：回顾性分析44例黏膜下子宫肌瘤患者行宫腔镜切除术的临床资料。结果：应用宫腔镜手术切除各类黏膜下子宫肌瘤共58个,0型20个,I型26个,Ⅱ型12个。手术平均时间29.6m in±15.2 min,术中出血量平均66.4m l±28.6 ml。无1例发生子宫穿孔、脏器损伤、水中毒、感染等严重并发症;2例术后2小时阴道出血超过月经量,及时给予药物治疗后停止;3例发热,给予对症处理后2天恢复正常。结论：宫腔镜手术治疗黏膜下子宫肌瘤是一种微创、安全、有效的方法。

Objective： To study the effects and safety of hysteroseopic treatment on all kinds of uterus submucous myoma. Methods： Forty-four cases of uterus submucous myoma treated by hysteroscopy were analyzed retrospectively. Results： In 58 patients with uterus submucous myoma treated by hysteroscopy, 20 cases were type 0, 26 cases were type Ⅰ and 12 cases were type Ⅱ. The average operation time was 29.6min± 15.2min, and the average blood lose was 66.4ml ± 28.6ml. There were no serious complications such as uterine perforation,intestinal injury,water toxicity and infection. The volume of vagina hemorrhage in two cases were more than that of menstrual flow during 2 hours after the operations, and the problem was resolved by giving medicine in time. Three cases had fever,but body temperature backed to normal after 2 days. Conclusion： Hysteroscopy myomectomy is a safe,high effective method with microtrauma in treating uterus submucous myoma.