宫腔镜电切术治疗黏膜下子宫肌瘤患者的疗效观察及对其术后复发率的影响

Observation on the Curative Effect of Hysteroscopic Electrosurgery in the Treatment of Submucous Uterine Myoma and Postoperative Recurrence Rate

目的:观察宫腔镜电切术治疗黏膜下子宫肌瘤患者的疗效及对其术后复发率的影响。方法:选取黏膜下子宫肌瘤患者113例,依据治疗方式不同分组,对照组56例予以开腹子宫肌瘤剔除术治疗,研究组57例予以宫腔镜电切术治疗,分析比较两组术中失血量、手术用时、术后应用抗生素时间、住院用时、肿瘤复发率。结果:研究组术中失血量、手术用时、术后应用抗生素时间、住院用时少于对照组,差异有统计学意义(P<0.05);研究组治疗后3个月、6个月肿瘤复发率分别为1.75%(1/57)、3.51%(2/57),低于对照组的17.86%(10/56)、23.21%(13/56),差异有统计学意义(P<0.05)。结论:黏膜下子宫肌瘤患者予以宫腔镜电切术治疗效果显著,可显著降低肿瘤复发率。

Objective:To investigate the curative effect of the hysteroscopic electrosurgery in the treatment of submucous uterine myoma and postoperative recurrence rate.Methods:A total of 113 cases of submucous uterine myoma were selected and grouped according to the different treatments.In the control group,56 cases were treated with the transabdominal myomectomy,and 57 cases in the study group were treated with the hysteroscopic electrosurgery.The amount of blood loss in the operation,the time of the operation,the application time of antibiotic after operation,the time of hospitalization and the recurrence rate of the tumor were analyzed and compared between two groups.Results:The amount of blood loss in the operation,the time of the operation,the application time of antibiotic after operation,and the time of hospitalization in the study group were less than those in the control group.The differences were statistically significant(P<0.05).The recurrence rate of the tumor after 3 months and 6 months of the treatment in the study group[1.75%(1/57),3.51%(2/57)]were lower than those in the control group[17.86%(10/56),23.21%(13/56)].The differences were statistically significant(P<0.05).Conclusion:The curative effect of the hysteroscopic electrosurgery in the treatment of submucous uterine myoma is remarkable.It can significantly reduce the recurrence rate of the tumor.