宫腔镜子宫肌瘤电切术与传统手术治疗子宫肌瘤的效果比较

Comparative study of hysteroscopic transcervical resection and traditional surgery in the treatment of uterine myoma

目的探讨宫腔镜子宫肌瘤电切术与传统手术治疗子宫肌瘤的疗效比较。方法选取收治的子宫肌瘤患者100例,随机分为两组,每组50例,分别采用腹腔镜子宫肌瘤剔除术治疗(LM组)及宫腔镜子宫肌瘤电切术治疗(TCRM组),比较两组患者手术时间、术中出血量、并发症、治疗效果、住院时间、住院费用。结果 TCRM组患者手术时间、住院时间短于LM组,术中出血量少于LM组,住院费用少于LM组,疼痛评分低于LM组,差异均有统计学意义(P<0.05)。TCRM组患者治疗的满意率明显高于LM组(96.00%vs 80.00%),差异有统计学意义(P<0.05)。TCRM组患者并发症发生率明显低于LM组(6.00%vs 18.00%),差异有统计学意义(P<0.05)。结论宫腔镜子宫肌瘤电切术治疗子宫肌瘤不开放腹部、无切口,术后恢复快,安全性高,值得推广和应用。

Objective To compare the efficacy of hysteroscopic transcervical resection and traditional surgery on the treatment of uterine myoma. Methods A hundred patients with uterine myoma were selected and randomly divided into two groups. They were treated with laparoscopic myomectomy ( Group LM) and hysteroscopic transcervical resection ( Group TCRM). The operation time,intraoperative blood loss,complications,therapeutic effect,hospital stay and hospi- tal cost were compared between the two groups. Results The time of operation and hospital stay were significantly shorter in the Group TCRM than the Group LM ( P < 0. 05). The intraoperative blood loss was significantly less in the Group TCRM than the Group LM,and the cost of hospitalization was also significantly less ( P < 0. 05). The scores of pain was lower in the Group TCRM than the Group LM ( P < 0. 05). The total effective rate of Group TCRM was significantly higher than that of Group LM ( 96. 00% vs. 80. 00%,P < 0. 05). The incidence of complications in Group TCRM was signifi- cantly lower than that in Group LM ( 6. 00% vs. 18. 00%,P < 0. 05). Conclusion Hysteroscopic transcervical resection of myoma is a safe and effective procedure for uterine myoma.