宫腔镜电切术治疗无性生活女性黏膜下肌瘤4例

Hysteroscopic Resection for Submucous Myoma of Uterus in 4 Patients Without Sexual Experience

2008年1月～2015年1月，对4例黏膜下肌瘤且无性生活史的患者行超声引导下宫腔镜电切术，其中0型2例，Ⅱ型1例，1例多发肌瘤分别是0型、Ⅰ型、Ⅱ型，使用等离子双极宫腔电切镜（外鞘直径8 mm）。4例手术顺利，肌瘤一次性切除，术后检查处女膜完好无破损，术后随访6、4、3、1年，均无肌瘤复发，且1例术后6年自然受孕，足月分娩一活婴。

[Summary] Four women with uterus submucosal myoma without sexual experience were treated with hysteroscopic surgery from January 2008 to January 2015.There were 2 cases of 0 type myoma, 1 case of Ⅱtype myoma, and 1 case of multiple myomas with 0 type,Ⅰtype, andⅡtype, respectively.The operation was performed by using the plasma bipolar hysteroscopic resectoscope （sheath diameter , 8 mm） .All the operations were successfully completed with myoma resected in one time .The hymens were undamaged .The patients were followed up for 6, 4, 3, and 1 year, finding no recurrence .One patient naturally conceived after 6 years postoperatively and gave birth to a healthy baby .