宫腔镜电切除术治疗子宫黏膜下肌瘤伴不孕生殖的预后分析

Analysis of prognosis of patients with uterine fibroids with infertility underwent transcervical resection of myoma

目的探讨宫腔镜电切除术治疗子宫黏膜下肌瘤伴不孕生殖的预后情况。方法选取2011年2月至2015年5月间收治的子宫黏膜下肌瘤伴不孕患者104例进行分析,所有患者均采取宫腔镜电切除术进行治疗,观察患者治疗前后妊娠及流产情况,并对相关数据进行统计学分析。结果宫腔镜电切除术治疗组患者术前妊娠率为51.9%,治疗后其妊娠率为73.1%,治疗前后妊娠率相比差异有统计学意义(P<0.05);宫腔镜电切除术治疗组患者术后流产率为15.4%,显著优于治疗前的33.7%,差异有统计学意义(P<0.05);治疗后有1例患者术后11个月肌瘤复发,再次行宫腔镜下子宫肌瘤电切术,手术后妊娠,足月剖宫产分娩。结论宫腔镜电切除术治疗子宫黏膜下肌瘤伴不孕对子宫的损伤较小,可明显增加妊娠率,降低自然流产率,值得临床推荐。

Objective To analyze the prognosis of patients with uterine fibroids with infertility underwent transcervical resection of myoma. Methods From February 2011 to May 2015 in The Second Hospital of Hengshui City,104 cases of uterine fibroids,infertility patients were selected. All patients were taken hysteroscopic resection. The data of pregnancy and abortion status before and after treatment was statistically analyzed. Results Hysteroscopic resection postoperative pregnancy rate before treatment was51. 9%,while the pregnancy rate was 73. 1% after treatment,with statistical difference（ P 〈 0. 05）. The abortion rate of patients underwent hysteroscopic resection was 15. 4%,the abortion rate was significantly better than that of pre-treatment（ 33. 7%）,with statistical difference（ P 〈 0. 05）. After treatment,there was one case with recurrence after 11 mo of surgery,and then uderwent transcervical resection of myoma again. After surgery,the patient became pregnant and underwent cesarean section delivery at full term. Conclusions The damage of uterine fibroids with infertility caused by uterine fibroids is small,can significantly increase the pregnancy rate,reduce the rate of spontaneous abortion. It is worthy of clinical recommendation.