两种方法治疗黏膜下子宫肌瘤的疗效观察

Two Methods for Submucous Myomas

目的分析宫腔镜电切治疗黏膜下子宫肌瘤的临床疗效。方法回顾性分析72例黏膜下子宫肌瘤的治疗,分别采用宫腔镜电切(宫腔镜组,37例)和经腹子宫肌瘤剔除(经腹组,35例)两种方法进行手术,比较肌瘤大小、手术时间、术中出血、术后肛门排气、住院时间、症状改变情况的差异。结果宫腔镜组患者手术时间、术后肛门排气、住院时间、术中出血均明显低于经腹组(P<0.01),所有患者症状均好转,肌瘤大小及类型对宫腔镜手术成功起决定性作用。结论宫腔镜手术治疗黏膜下子宫肌瘤较传统开放手术创伤小,安全,效果显著。

Objective To analyze the clinical efficacy of hysteroscopic electrotomy for submucous myomas.Methods Data of 72 patients with submucous myomas were analyzed retrospectively.These patients were treated with either hysteroscopic electrotomy(hysteroscopic group,n=37)or transabdominal myomectomy(transabdominal group,n=35).Myoma size,operation time,intraoperative blood loss,time to postoperative flatus,hospital stay and symptom improvement were compared between the two groups.Results Compared with transabdominal group,the operation time,intraoperative blood loss,time to postoperative flatus and length of hospital stay were decreased in hysteroscopic group(P<0.01).Symptoms were improved in all patients.The size and type of myoma were critical for successful hysteroscopic myomectomy.Conclusion Compared with traditional open surgery,hysteroscopic electrotomy can reduce trauma and treat submucous myomas safely and effectively.