宫腔镜手术治疗子宫腔良性病变118例疗效分析

Efficacy Analysis of Hysteroscopic Surgery Applied in the Treatment of 118 Cases of Benign Uterine Cavity Lesions

目的:探讨宫腔镜手术治疗子宫腔良性病变的疗效。方法:应用连续灌流式宫腔镜对118例子宫腔良性病变患者进行手术治疗。结果:118例中,子宫内膜息肉38例,宫腔粘连26例,功能失调性子宫出血20例,宫内异物残留18例,黏膜下子宫肌瘤10例,子宫中隔切除6例,其中腹腔镜监护65例,二次手术8例,三次手术2例,均手术成功,患者临床症状好转,治疗有效率100%。结论:宫腔镜手术损伤小,手术时间短,出血少,恢复快,为子宫腔良性病变治疗首选方法,腹腔镜监护可提高手术成功率。

Objective： To study the curative effect of hysteroscopy surgery in the treatment of benign uterine cavity lesions. Methods： Continuous Perfusion of Hysteroscopy was applied to surgical treatment of 118 patients with benign uterine cavity lesions. Results： Among the 118 cases,there were 38 cases of endometrial polyps,26 cases of intrauterine adhesions,20 cases of dysfunctional uterine bleeding,18 cases of intrauterine foreign body residues,10 cases of submucosal uterine fibroids,and 6 cases of uterine septum resection. 65 cases of the 118 cases were laparoscopic monitored. 8cases were operated twice; 2 cases were operated three times. All were operated successfully. Clinical symptoms were improved; the treatment effective rate was 100%. Conclusion： Hysteroscopic surgery is the preferred method for benign uterine cavity lesions treatment for its small damage,short operative time,less bleeding,and fast recovery. Laparoscopic monitoring can improve the success rate of surgery.