宫腔镜电切术治疗黏膜下肌瘤的疗效及安全性分析

The Analysis of Treating Submucosal Myoma by Hysteroscopic Resection

目的通过对宫腔镜电切术治疗黏膜下的肌瘤,并分析这种方法的疗效及安全可靠性如何。方法我院在2009年2月至2010年11月收治了106例子宫黏膜下肌瘤患者,按随机抽样的方式分两组分析,其中观察组53例和对照组53例。在对照组中,利用开腹手术的方式治疗;在观察组中,则利用宫腔镜电切除术进行治疗,比较两组临床效果和安全性。结果经两种方式治疗后,观察组19例疗效优,31例疗效良,3例疗效差,疗效优良率94.34%;对照组13例疗效优,30例疗效良,10例疗效差,疗效优良率81.13%。两组均具有显著性差异,具有统计学意义(P<0.05)。结论经对两组的结果比较分析,利用宫腔镜电切术来治疗子宫黏膜下肌瘤是具有较佳临床效果,建议广泛推广。

Objective To dicuss the effect and methods of treating submucosal myoma by hysteroseopie resection. Methods Choosed 106 patients of submucosal myoma from Feb. 2009 to Nov. 2010 to divide into study group and controlled group with 53 cases in each other. Controlled group were treated with laparotomy, and study group were treated with hysteroscopic resection. Compared the effect and safety in these two groups. Results The effect rate in study group was 94.34% in study group, and 81.13% in controlled group, and there was significant different in these two groups （P〈0.05）. Conclusion The effect of treating submueosal myoma by hysteroscopic resection is good to extend in clinic.