宫腔镜电切术治疗黏膜下子宫肌瘤的价值分析

Value of Hysteroscopic Electrotomy in the Treatment of Submucosal Uterine Fibroids

目的:探讨宫腔镜电切术治疗黏膜下子宫肌瘤的价值。方法:选取笔者所在医院收治的82例黏膜下子宫肌瘤患者,根据不同治疗方案将其分为两组,各41例,观察组行宫腔镜电切术治疗,对照组行子宫动脉栓塞术治疗,比较两组的手术治疗情况和疗效,统计并发症发生率。结果:组间术中出血量和术后住院时间比较差异无统计学意义(P>0.05);观察组手术时间(54.68±10.29)min,短于对照组的(74.97±10.14)min(P<0.05);观察组治疗有效率(95.12%)高于对照组(78.05%),差异有统计学意义(P<0.05);观察组并发症发生率(9.76%)低于对照组(29.27%),差异有统计学意义(P<0.05)。结论:宫腔镜电切术治疗黏膜下子宫肌瘤能够有效缩短手术时间,提升疗效,安全性可靠。

Objective:To explore the value of hysteroscopic electrotomy in the treatment of submucosal uterine fibroids.Method:A Total of 82 patients with submucosal uterine fibroids in our hospital were selected and divided into two groups according to different treatment regiments,with 41 cases in each group.The observation group received hysteroscopic electrotomy and the control group received uterine artery embolization.Result:There was no significant difference in intraoperative blood loss and postoperative hospital stay between two groups(P>0.05).The operation time of the observation group was(54.68±10.29)min,shorter than(74.97±10.14)min of the control group(P<0.05).The effective rate of the observation group(95.12%)was higher than that of the control group(78.05%),the difference was statistically significant(P<0.05).The incidence of complications in the observation group(9.76%)was lower than that in the control group(29.27%),the difference was statistically significant(P<0.05).Conclusion:Hysteroscopic electrotomy for submucosal uterine fibroids can effectively shorten the operation time,improve the efficacy and safety.