宫腔电切镜治疗子宫黏膜下肌瘤128例临床分析

Hysteroscopic treatment of submucosal myoma:Clinical analysis of 128 cases

目的探讨宫腔电切镜子宫黏膜下肌瘤切除术的效果及安全性。方法因月经改变、子宫异常出血、腹痛等,经B超、宫腔镜检查诊断子宫黏膜下肌瘤,行宫腔镜电切术128例。结果 0型病例62例,Ⅰ型病例60例,Ⅱ型病例6例,128例手术均顺利完成,无一例发生水中毒、子宫穿孔、大出血、感染等并发症。术后随访月经过多患者120例,117例明显减少,有效率97.6%,腹痛患者50例,术后症状全部消失,有效率100%。结论宫腔电切镜治疗子宫黏膜下肌瘤安全、有效。

Objective To detemine the effect and secutity of hysteroscopic electrotomy in treatment of submucosal myoma.Methods 128 cases of submucosal myoma were treated with hysteroscopic electrotomy,all the patients with history of menstruation changes,abnormal uterine bleeding or abdominal pain were examined by B-ultrasound and hysteroscopy before operation.Results 128 cases which 62 cases were type 0,60 type I and 6 type II were treated by hysteroscopy successfully.Complications as overhydration,uterine perforation,hemorrhea and infection were not found.After operation,117out of 120 cases with hypermenorrhea demonstrated that menstruation reduced obviously,the effective rate was 97.6%.All cases with abdominal pain demonstrated symptom disappeared,the effective rate was 100%.Conclusion It is safe and effective of hysteroscopic electrotomy for treatment of submucosal myoma.