宫腔镜下子宫肌瘤剔除术临床分析

Hysteroscopic myomectomy: a clinical analysis of 62 cases

目的探讨宫腔镜下行子宫肌瘤剔除术的临床价值。方法选取子宫肌瘤患者120例,随机分为对照组(58例)和观察组(62例),对照组患者行常规开腹手术,观察组患者行宫腔镜手术,比较两组患者手术情况和手术效果。结果观察组患者手术时间、术中出血量、术后排气时间、下床活动时间、术后住院时间均明显短于对照组,差异有统计学意义(P<0.05)。两组患者治疗显效率和有效率差异无统计学意义(P>0.05)。结论宫腔镜下进行子宫肌瘤剔除术安全而有效,但是在进行手术时要严格掌握适应证,并由经验丰富的医生在B超引导下进行操作,术中轻柔操作,尽量避免子宫穿孔等并发症的发生。

Objective To investigate the clinical value of hysteroscopic myomectomy. Methods 120 cases with myomectomy were chosen and divided into two groups. 58 cases were in the control groups, and 62 ca- ses were in the observation group, and make it comparable. The control group were given conventional lapa- rotomy, while the observation group were given hysteroscopic surgery. The surgery and surgical effect of the two groups were observed. Results The operation time, intranperative bleed loss, postoperative exhaust time, ambulation time, postoperative hospital stay of the observation group were obviously shorter than con- trol group, which had significant differences （ P 〈 0.05 ）. The markedly effective and effects of the two groups had little difference, which had no significance （P 〉 0. 05）. Conclusion Hysteroscopic myomecto- my were safe and effective, but the adapatation time should be stickly controlled, in surgery, which should be operation under type-B ultrasonic by experienced doctors, and the surgery should be softly and avoid the occurrence of complications such as uterine perforation.