宫腔镜双、单极电切割粘膜下子宫肌瘤的对照研究

A comparative study of hysteroscopic bipolar vaporization resectoscopic surgery versus unipolar resectoscopic surgery.

目的:探讨宫腔镜下双极汽化切割粘膜下子宫肌瘤的临床价值。方法:双极汽化切割粘膜下子宫肌瘤61例与单极电切割粘膜下子宫肌瘤65例,就两组患者临床特征、手术时间、术中出血量、膨宫液量和并发症进行对比分析。结果:两组患者年龄、术前血红蛋白(HGB)、肌瘤大小、宫腔深度差异无显著性(P>0.05),手术时间、术中出血量、膨宫液量和术中并发症差异有显著性(P<0.01)。结论:宫腔镜双极汽化切割术与单极电切割术相比,具有手术时间短、术中出血少、膨宫液量少、并发症少等优点,宫腔镜双极汽化切割术可替代单极电切割术。

Objective:To investigate the clinical values of hysteroscopic bipolar vaporization resectoscopic surgeries.Methods:61 patients with submucous myomas were treated with bipolar vaporization resectoscopic surgeries and were compared with 65 patients who were treated with unipolar resectoscopic surgeries. The two forms of techniques were performed for these cases, which were analysed for the patients features, operation time, intraoperative bleeding, volume of eiquit medid for distending the uterine cavity and complications.Results:There were no differences in age,preoperative hemoglobin(HGB), the size of myoma, the depth of uterine cavtiey between two groups (P > 0.05). The bipolar group was associated with a significant reduction in operation time, intraoperative bleeding, liquous media and complication (P < 0.01).Conclusions:The hysteroscopic bipolar vaporization resectoscopic surgeries, which was advantages of short operative time, little blood loss, little liquous media for distending the uterine cavity, no complications and satisfied results, could replace unipolar resectoscopic surgery.