宫腔镜治疗子宫肌瘤178例临床分析

Clinical analysis of the therapeutic result of hysteroscopic myomectomy in 178 patients with uterine myoma

目的探讨宫腔镜手术切除子宫肌瘤的安全性及可行性。方法选取2012年7月～2013年6月在我科住院患者，共178例，术前常规检查无手术禁忌证，术前晚进行宫颈预处理。术中用常规切割、钳夹、捻转、牵拉、娩出五步手法施术，全程B超监护，术后抗炎促宫缩治疗，观察术后满意率。结果所有手术均一次手术成功率，满意率100％，切除肌瘤直径1．0～6．0cm，手术时间10～85min，术中出血5～200mL。结论宫腔镜手术是治疗黏膜下肌瘤及壁间贴近内膜肌瘤的一种微创、安全、有效的治疗方法。

Objective To evaluate the safety and feasibility of myoma of uterus by transcervical resection of myoma（TCRM）. Methods The 178 cases from Janury to December 2012 were choiced. There were no surgery eontraindications. Cervial priming was done by cervical dilator in evening before surgery. TCRM was performed by five steps： resection.grasp, twist, drawing and delivery. Surgery was monitored by B ultrasound. The anti-inflammatory and promote uterus contraction therapy were given. To observe the postoperative satisfaction. Results The successful rate of one-stage was 100%, The mean diameter of fibroids was 1.0-6.0cm, The mean operating time was 10-85 min. Intraoperative bleeding was 5-200mL. Conclusion TCRM is amini-invasive, safe and availability therapy for submueous myoma and intramural myoma near to mucous of uterus.