宫腔镜电切术治疗子宫黏膜下肌瘤80例临床分析

目的 评价宫腔镜电切除治疗子宫黏膜下肌瘤的有效性和安全性.方法 将160例子宫黏膜下肌瘤患者分为宫腔镜电切术治疗80例（治疗组）和开腹子宫肌瘤切除术治疗80例（对照组）.比较分析两组的术中出血量、手术时间、术后24 h阴道流血量,术后胃肠道恢复时间.结果 治疗组手术时间20～50 min,平均（25±2.52） min;术中出血量10～30 mL,平均（15±3.51）mL;术后24 h阴道出血量20～45 mL,平均（30±10.15）mL;术后胃肠道恢复时间0.5～1.0 d,平均（0.7±0.21）d.对照组手术时间60～120 min,平均（90±25.13）min;术中出血量60～30 mL,平均（95±31.12）mL;术后24 h阴道出血量25～65 mL,平均（45±16.12）mL;术后胃肠道恢复时间0.9～2.2 d,平均（1.5±0.62）d.结论 宫腔镜电切术治疗子宫黏膜下肌瘤安全高效、损伤小、手术时间短、术后恢复快,值得临床推广.

A clinical analysis of hysteroscopic electrotomy in the treatment of 80 cases of submucous myomas

Objective To evaluate the efficiency and safety of hysteroscopic electrotomy in the treatment of submucous myomas. Methods A total of 160 patients with submucous myomas were assigned to a group of hysteroscopic electroto- my （treatment group） and a group of transabdominal myomectomy（control group）, with 80 patients in each group. The amount of bleeding during the surgery, surgery time, the amount of vaginal bleeding in 24 hours after the surgery, and the recovery time of gastrointestinal tract after the surgery were compared between the two groups. Results The surgery time in the treatment group was 20~50 rain, and the average was （25±2.52） min; the amount of bleeding during the surgery was 10-30 mL, and the average was （15±3.51） mL; the amount of vaginal bleeding in 24 hours after the surgery was 20--45 mL, and the average was （30±10.15） mL; the recovery time of gastrointestinal tract was 0.5-1.0 d, and the average was （0.7±0.21） d. The surgery time in the control group was 60-120 min, and the average was （90± 25.13） min; the amount of bleeding during the surgery was 60-130 mL, and the average was （95±31.12） mL; the amount of vaginal bleeding in 24 hours after the surgery was 25-65 mL, and the average was （45±16.12） mL; the re- covery time of gastrointestinal tract was 0.9-2.2 d, and the average was （1.5±0.62）d. Conclusion The hysteroscopic electrotomy in the treatment of submucous myomas is safe and efficient. It has minor damages, short surgery time and fast postoperative recovery, which is worthy of clinical promotion.