| 宫腔镜下黏膜下子宫肌瘤电切术治疗子宫肌瘤的临床疗效 |
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| 引用本文： | 马文琴,赵丹梅.宫腔镜下黏膜下子宫肌瘤电切术治疗子宫肌瘤的临床疗效[J].现代预防医学,2011,38(23):4862-4863. |
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| 作者姓名： | 马文琴 赵丹梅 |
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| 作者单位： | 江苏省常州市妇幼保健院普妇科,常州,213000 |
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| 摘 要： | 目的]观察和探讨宫腔镜下黏膜下子宫肌瘤电切术(TCRM)的临床疗效及可行性. 方法]对2008年1月～2011年1月收治的45例子宫肌瘤患者采取宫腔镜下黏膜下子宫肌瘤电切术,观察比较患者治疗前后血红蛋白含量及血清钠水平,术后随访所有患者1年,观察手术效果. 结果]本组45例患者,44例手术均较成功,1例(2.22％)患者发生子宫穿孔；术后回访1年,42例(93.33％)患者恢复良好,无任何异常情况,3例(6.67％)发生子宫异常出血,其中2例经对症处理,症状消失,1例肌瘤复发患者行子宫全切术；患者术前1d血红蛋白为(91.5±13.6) g/L,术后d7血红蛋白为(105.3±6.9) g/L,治疗前后差异有统计学意义(P＜0.05)；术前1d血清钠为(141.2±6.6) mmoL/L;术后d3血清钠为(139.3±5.4) mmol/L,治疗前后差异无统计学意义(P＞0.05). 结论]宫腔镜下黏膜下子宫肌瘤电切术治疗子宫肌瘤手术创伤小,手术时间短,术后并发症少,患者恢复快,疗效显著,可行性高,是子宫肌瘤患者尤其是有生育要求的育龄妇女理想的选择.
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| 关 键 词： | 宫腔镜下黏膜下子宫肌瘤电切术 黏膜下肌瘤 子宫穿孔 临床疗效 |
CLINICAL EFFECT OF TRANSCERVICAL RESECTION OF MYOMA FOR THE TREATMENT OF UTERINE FIBROIDS |
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| MA Wen-qin
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ZHAO Dan-mei.CLINICAL EFFECT OF TRANSCERVICAL RESECTION OF MYOMA FOR THE TREATMENT OF UTERINE FIBROIDS[J].Modern Preventive Medicine,2011,38(23):4862-4863. |
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| Authors: | MA Wen-qin ZHAO Dan-mei |
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| Institution: | MA Wen-qin,ZHAO Dan-mei.(General Gynecology,Jiangsu Province Changzhou City Maternal and Child Health Hospital,Changzhou 213000,China) |
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| Abstract: | Objective]To observe and explore the clinical efficacy and feasibility of transcervical resection of myoma(TCRM).Methods]From January 2008 to January 2011,45 patients with uterine fibroids were carried out transcervical resection of myoma,then observed and compared hemoglobin and serum sodium levels before and after treatment.After 1 year follow-up in all patients,the postoperative effect was observed.Results]44 cases' operation were successful,1 cases(2.22%)was found with uterine perforation;after 1 yea... |
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| Keywords: | Transcervical resection of myoma Submucous myoma Uterine perforation Clinical efficacy |
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