宫腔镜电切术治疗子宫黏膜下肌瘤的临床疗效分析

Study on clinical effect of resection of submucosal hysteromyoma by TCRM in 148 patients

目的探讨宫腔镜电切术(TCRM)治疗子宫黏膜下肌瘤的临床疗效。方法回顾性分析2008年3月至2011年3月接受治疗的238例宫黏膜下肌瘤患者,其中148例采用宫腔镜电切术治疗(观察组),90例接受常规开腹治疗(对照组),对比两组临床疗效。结果两组患者在临床疗效上差异无统计学意义(P>0.05)。治疗组在术中出血量、手术时间、术后排气时间、下床活动时间、术后住院时间上均优于对照组,两组对比差异有显著性(P<0.05)。结论TCRM治疗子宫黏膜下肌瘤损伤比较小,易被患者接受,效果满意,值得临床上推广。

Objective To explore the the clinical effect of resection of submucosal hysteromyoma by transcervical resection of myoma （TCRM）. Methods Two hundred and thirty eight patients with submucosal hysteromyoma were selected as study subjects. All these patients were divided into trim group and control group according to the method for operation. Patients in control group （ n = 90 cases） were given with con- ventional method for operation, while patients in trial group （n = 148 cases） were given with TCRM. The curative effect was compared between these two groups. Results The operating time, amount of blood loss, postoperation exhaust time, duration for leaving bed and duration for hospi- talization in patients of trial group were better than those of patients in control group, and their difference was statistically significant （ P 〈 0.05 ）. Conclusion The surgical injury of TCRM is the smallest and it is easily be accepted by patients, and its effect of operation is satisfactory, so it is worthy to be recommended for clinical application.