宫腔镜下冷刀切除治疗子宫黏膜下肌瘤的效果分析

Effect analysis of hysteroscopic cold knife resection in the treatment of uterine submucous myoma

目的探讨子宫黏膜下肌瘤采用宫腔镜下切除术治疗的效果。方法选择50例子宫黏膜下肌瘤患者临床资料进行回顾性分析,根据手术方式的不同分为对照组和研究组,每组25例。对照组采用宫腔镜下电刀切除术,研究组采用宫腔镜下冷刀切除术,比较两组围手术期情况、复发率、妊娠成功率及并发症发生率。结果研究组手术时间、住院时间及月经恢复时间均短于对照组,且术中出血量少于对照组(P<0.05);两组妊娠成功率、复发率比较差异均无统计学意义(P>0.05);研究组并发症总发生率低于对照组(P<0.05)。结论子宫黏膜下肌瘤患者采用宫腔镜下冷刀切除术治疗效果较好,其患者创伤较小,术后恢复时间较短,安全性较高,且在复发风险、妊娠结局方面也存在优势,值得临床推广与应用。

Objective To investigate the effect of hysteroscopic resection of uterine submucous myoma,Methods The clinical data of 50 patients with uterine submucous myoma were retrospectively studied,and they were divided into control group and study group according to different surgical methods,with 25 cases in each group.Hysteroscopic electrosurgical resection was performed in the control group and hysteroscopic cold surgical resection was performed in the study group.The perioperative situation,recurrence rate,pregnancy success rate and complication rate were compared between the two groups.Results The operation time,hospitalization time and menstrual recovery time of the study group were shorter than those of the control group,and the amount of blood loss during operation was less than that of the control group(P<0.05).There were no significant differences in pregnancy success rate and recurrence rate between the two groups(P>0.05).The total complication rate of the study group was lower than that of the control group(P<0.05).Conclusion Hysteroscopic cold knife resection for patients with uterine submucous myoma has better treatment effect,less trauma,shorter postoperative recovery time,higher safety,and advantages in recurrence risk and pregnancy outcome,which is worthy of clinical promotion and application.