子宫肌瘤假包膜不同处理方式价值比较

Clinical Value Comparison of Different Treatment Methods of Pseudocapsule in Hysteromyoma

目的探讨假包膜切除和保留对行宫腔镜手术Ⅱ型子宫肌瘤患者手术相关临床指标及宫腔粘连率的影响。方法回顾性分析本院2016年1月—2018年9月收治行宫腔镜手术Ⅱ型子宫肌瘤患者共128例临床资料,其中58例术中保留假包膜设为试验组,70例术中切除假包膜设为对照组;比较两组手术相关临床指标及宫腔粘连率。结果两组患者手术操作时间和手术出血量比较差异无显著性(P>0.05);试验组患者术后1个月和3个月宫腔粘连率均显著低于对照组(P<0.05)。结论相较于假包膜切除,术中假包膜保留有助于提高行宫腔镜手术Ⅱ型子宫肌瘤创面愈合效果,降低术后宫腔粘连发生风险。

Objective To investigate the influence of pseudocapsule resection and reservation on the operative related clinical indexes and the rate of intrauterine adhesions in patients with typeⅡhysteromyoma.Methods Clinical data 128 patients with hysteromyoma after TCRP were chosen in the period from January 2016 to September 2018 in our hospital and randomly divided into 2 groups including control group(58 patients)with pseudocapsule reservation and experiment group(70 patients)with pseudocapsule resection,and the operative related clinical indexes and the rate of intrauterine adhesions of 2 groups were compared.Results There was no significant difference in operation time and bleeding volume between 2 groups(P>0.05).The rate of intrauterine adhesions in 1 month and 3 months after operation of experiment group were significantly lower than control group(P<0.05).Conclusion Compared with pseudocapsule resection,pseudocapsule reservation in the treatment of patients with typeⅡhysteromyoma can efficiently improve the healing effect of typeⅡhysteromyoma and reduce the risk of postoperative intrauterine adhesions.