| 电视宫腔镜电切术临床应用775例 |
| |
| 引用本文： | 刘木彪,何援利,宗利丽,杨芳. 电视宫腔镜电切术临床应用775例[J]. 南方医科大学学报, 2004, 24(4): 467-469 |
| |
| 作者姓名： | 刘木彪 何援利 宗利丽 杨芳 |
| |
| 作者单位： | 第一军医大学珠江医院妇产科, 广东, 广州, 510282 |
| |
| 基金项目： | 收稿日期:2003-9-5。作者简介:刘木彪(1972-),男,1995年毕业于第一军医大学,主治医师,讲师,主要研究方向:妇科内镜技术,电话:020-61643360,E-mail:liumb@sohu.com |
| |
| 摘 要： | 目的 总结宫腔镜电切术治疗子宫良性病变的经验体会。方法 对775例宫腔电切术的手术时间、出血量、并发症及预后进行回顾性分析。结果 平均手术时间(26.5±10.3)min;术中出血量为(40.1±12.5)ml;539例门诊患者术后观察2 h回家,236例住院患者术后住院日2~3 d。随访3月到6年,经宫颈子宫内膜电切术(TCRE)术后闭经率88.9%,17例4~22个月再次少量出血;经宫颈子宫内膜息肉电切术(TCRP)后息肉复发6例(5.5%);经宫颈子宫肌瘤电切术(TCRM)后月经均恢复正常;经宫颈子宫纵隔电切术(TCRS) 6月后宫腔镜复查宫腔形态均恢复正常,无粘连发生;经宫颈宫腔粘连切除术(TCRA)后月经改善55例(96.5%)。近期并发症为中度低钠血症1例,全组病例无死亡、子宫穿孔及电损伤等并发症。远期并发症有1例经宫颈宫颈病变切除术(TCRC)术后4个月发现宫颈及宫腔粘连。结论 宫腔镜电切术能有效治疗子宫内良性病变,且具有不开腹、创伤小、出血和并发症少,不影响卵巢功能等特点。
|
| 关 键 词： | 宫腔镜 电外科手术 良性病变 子宫 息肉 |
| 文章编号： | 1000-2588(2004)04-0467-03 |
| 修稿时间： | 2003-09-05 |
Clinical application of hysteroscopic electroresection in 775 cases |
| |
| LIU Mu-biao,HE Yuan-li,ZONG Li-li,YANG Fang. Clinical application of hysteroscopic electroresection in 775 cases[J]. Journal of Southern Medical University, 2004, 24(4): 467-469 |
| |
| Authors: | LIU Mu-biao HE Yuan-li ZONG Li-li YANG Fang |
| |
| Affiliation: | LIU Mu-biao,HE Yuan-li,ZONG Li-li,YANG Fang Department of Obstetrics and Gynecology,Zhujiang Hospital,First Military Medical University,Guangzhou 510282,China |
| |
| Abstract: | Objective To review our experience with hysteroscopic electroresection in the treatment of uterine benign lesions. Methods We conducted a retrospective analysis of 775 cases of hysteroscopic surgery in view of the operation time, blood loss, complications and prognosis. Results The average operation time was 26.5±12.3 min and average blood loss 40.1±10.5 ml. The outpatients (n=539) were discharged 2 h after operation while the inpatients stayed for 2 or 3 d. Hyponatremia occurred in 1 case, and no death, uterine perforation or electric injury was recorded. During the follow-up for 3 months to 6 years, bleeding relapsed in 17 cases after transcervical resection of the endometrium, and the amenorrhea rate was 88.9%. The recurrence rate of endometrial polyp was 5.5% after electroresection of polyps. Menstruation as normal in all the cases after transcervical resection of the myoma. The uterine cavity became morphologically normal after transcervical resection of the septum without adhesions in the cavities. Improvement of menstruation was achieved in 55 cases (96.5%) after transcervical resection of the adhesion. A patient undergoing transcervical resection of the cervical lesion developed uterine and cervical adhesion 4 months later. Conclusions For the patients with intrauterine benign diseases, hysteroscopic electroresection provides effective therapeutic options for lessening the invasive injury and decreasing the complications and blood loss. |
| |
| Keywords: | hysteroscopy electrosurgery uterine benign lesion polyp |
| 本文献已被 CNKI 万方数据 等数据库收录！ |
| 点击此处可从《南方医科大学学报》浏览原始摘要信息 |
|
点击此处可从《南方医科大学学报》下载全文 |
|
