宫腔镜双极汽化切割手术42例分析

Bipolar Vaporization Resectoscopic Surgery by Hysteroscopy: Analysis of 42 Cases

目的 :探讨宫腔镜双极汽化切割手术的安全性和疗效。方法 :术前宫腔镜诊断均为粘膜下或肌壁间突向宫腔肌瘤 42例 ,在宫腔镜下施行双极汽化切割手术。结果 :手术成功率 10 0 %,手术时间 2 8 71± 13 83分钟 ,出血量 16 0 7± 12 17ml,标本组织重量 32 2 4± 7 4 6g,术中、术后无并发症 ,术后 3、6、12和 2 4个月随访有效率分别达 97 1%、97 1%、94 3%和 91 4 %。结论 :宫腔镜双极汽化切割手术具有手术时间短、出血少、无并发症等优点 ,疗效满意 ,可替代单极电切割术。

Objective:To determine the efficacy and safety of hysteroscopic bipolar vaporization resectoscopic surgery. Methods:42 cases diagnosed submucous myomas by hysteroscopy were operated using hysteroscopic bipolar vaporization resectoscopy. Results:All were successfully completed operation at one time. The average operative time was 28.71±13.83 minutes, the average blood loss was 16.07±12.17 ml and the average weight of the lesions was 32.24±7.46g. No complication occurred during operation and post-operation. The effective rate of the therapy in 3?6?12 and 24 months follow-up was 97.1%? 97.1%? 94.3% and 91.4% respectively. Conclusions:The hysteroscopic bipolar vaporization resectoscopic surgery has short operative time, less blood loss, no complications, satisfied results, and can replace unipolar resectoscopic surgery.