摘要
目的探讨B超监护下宫腔镜切除子宫粘膜下肌瘤的临床疗效及安全性。方法 B超监护下采用宫腔镜切除术治疗粘膜下子宫肌瘤。56例患者中:0型29例,Ⅰ型20例,Ⅱ型7例。术后随访3~24个月。根据术后月经改善情况、剩余肌瘤有无增长、是否再次手术等将疗效分为满意和不满意。对结果进行分析。结果应用宫腔镜手术治疗粘膜下子宫肌瘤,术后满意率为96.2%;0型、Ⅰ型术后满意率达100%,Ⅱ型子宫肌瘤术后满意率75%。术后随访,残余肌瘤不再增长。3例要求生育者妊娠。全部手术无一例并发症发生。结论宫腔镜手术治疗粘膜下子宫肌瘤疗效好,正确选择手术适应证,严格B超监测可提高手术安全性和术后疗效。
Objective To explore the clinical efficacy and safety of hysteroscopy treatment for submucous myoma on B ultrasonic monitoring.Methods The submucous myoma was all removed by hysteroscopy.Among 56 cases with submucosal fibroids,the 0 type were 29 cases,Ⅰ type 20 cases,Ⅱ type 7 cases.All cases were followed up for 3-24 months.The effects of treatment were divided into satisfactory and unsatisfactory according to whether improvements in postoperative period.Results The total satisfaction after hysteroscopy surgery was 96.2%.The post-operative satisfaction rate was 100% for the 0 and Ⅰ type,Ⅱ type 75%.The residual fibroids did not continue to grow.3 cases required fertility conceived.There was no complication in all the operation.Conclusion It is a good method for hysteroscopy to treat submucosai hystemmyoma.The effects and safety of the operation could be ensured by selecting proper patients and strict ultrasound monitor in the operation.
出处
《西部医学》
2010年第12期2300-2302,共3页
Medical Journal of West China