摘要
目的 评价子宫黏膜下肌瘤宫腔镜电切术的疗效及安全性.方法 本院对126例术前诊断为子宫黏膜下肌瘤的患者,在超声监护下行宫腔镜电切术,根据子宫肌瘤的不同类型及有无生育要求分别采用刨根法、旋切法及开窗法,观察宫腔镜电切术的可行性、安全性及疗效,术后随访2～7年.结果 126例患者均顺利完成手术,无一例并发症,手术时间10～90 min,术中出血15～200 ml,术后满意率0～Ⅰ型为100.0％,Ⅱ型为93.8％.行米非司酮药物预处理3个月后子宫平均体积缩小24.8％,子宫肌瘤平均缩小35.2％,20例有生育要求者,15例妊娠,10例已足月分娩.结论 子宫黏膜下肌瘤宫腔镜电切术是一种有效、安全、可靠的首选手术方式.
Objective To evaluate the efficacy and safety of TCRM with hysteroscope in treatment of submucosal myoma of uterus. Methods TCRM under ultrasonography monitoring was conducted in 126 cases of patients preoperatively diagnosed as submucosal myoma of uterus.According to the different types of uterine myoma as well as requirement of fertility,different methods,including radical resection,rotary cut and fenestration,were applied,and the feasibility,safety, and efficacy of TCRM were observed.The patients were followed up for 2-7 years after operation. Results Surgeries on all of the 126 patients were successfully completed and no complication was observed.The duration of operation was 10-90 min, and hemorrhage during operation was 15-200 ml.The satisfaction rate post operation was 100.0% in pa- tients with myoma type 0-I and 93.8% in patients with type 11 .After three months of pharmacological preconditioning with mifepristone,the average uterine size of the patients decreased by 24.8%,and the average size of uterine myoma decreased by 35.2%.In the 20 patients who had the requirement of fertility,15 had been pregnant and 10 had delivered full term. Conclusion TCRM with hysteroscope in treating submucosal myoma of uterus is an effective and safe surgical method,as well as a preferred and optimal minimally invasive technique.
出处
《中国当代医药》
2014年第5期165-167,170,共4页
China Modern Medicine
