不同类型黏膜下子宫肌瘤宫腔镜电切除术对患者生育能力的影响

Effects of hysteroscopy electrocision for different types of submucosal uterine fibroids on patient′fertility

目的分析不同类型黏膜下子宫肌瘤患者宫腔镜电切除术对患者生育能力的影响。方法选择我院2012年11月～2015年4月接收的准备行宫腔镜电切除术的不同类型黏膜下子宫肌瘤患者154例作为研究对象,其中0型（75例）、Ⅰ型（48例）、Ⅱ型（31例）,分析比较不同类型黏膜下子宫肌瘤患者行宫腔镜电切术后子宫愈合情况,妊娠、生育情况的临床资料,研究不同类型黏膜下子宫肌瘤患者宫腔镜电切术对手术至妊娠时间选择和妊娠结局的影响。结果 0型足月生产率为89.3%,Ⅰ型足月生产率为68.8%,Ⅱ型足月生产率为64.5%,0型与Ⅰ、Ⅱ型比较,差异有统计学意义（P〈0.05）;Ⅰ型与Ⅱ型比较,差异无统计学意义（P〉0.05）。另外对这三种类型子宫肌瘤宫腔镜电切除术后的其他妊娠结果进行比较,差异无统计学意义（P〉0.05）。结论不同类型黏膜下子宫肌瘤宫腔镜电切除术对患者生育能力的影响差异显著,早期诊断和治疗对有生育要求的黏膜下子宫肌瘤患者具有重要意义。

Objective To analyze influence of hysteroscopic electrocision for different submucous uterine fibroid types on fertility of patients.Methods 154 patients of different types of submucous uterine fibroid,who were received in our hospital from November 2012 to April 2015 and prepared for hysteroscopic electrocision.Submucous uterine fibroid were divided into type 0（75 cases）,typeⅠ（48 cases）,and type Ⅱ（31 cases）.The clinical data of postoperative uterine healing,pregnancy and birth were compared,the effect on timing of surgery to pregnancy and pregnancy outcome of hysteroscopic electrocision for different types of submucous uterine fibroid was studied.Results The mature productivity of type 0,type Ⅰ and type Ⅱ was 89.3%,68.8% and 64.5% respectively,the differences were statistically among type 0 and type Ⅰ,type Ⅱ（P〈0.05）;While between type Ⅰ and type Ⅱ,the difference was not statistically significant（P〉0.05）.The other pregnancy results of three types of uterine fibroids after hysteroscopy were compared,and the difference was not statistically significant（P 〉0.05）.Conclusion Hysteroscopic electrocision for different submucous uterine fibroid types can provide significantly different fertility of patients.Early diagnosis and treatment of submucous uterine fibroid patients with fertility requirements is of great significance.