宫腔镜下黏膜下子宫肌瘤电切术的临床疗效和安全性分析

目的:观察宫腔镜下黏膜下子宫肌瘤电切术的临床疗效和安全性。方法:选择我院2008年9月～2009年11月收治的黏膜下子宫肌瘤患者126例,其中0型45例(A组),Ⅰ型46例(B组),Ⅱ型35例(C组),均采用宫腔镜下黏膜下子宫肌瘤电切术治疗,比较3组患者的治疗情况。结果:A、B组患者的术中出血量明显少于C组,且住院时间明显短于C组,组间差异有统计学意义(P<0.05)。术后:A、B组满意率分别为97.8%、95.7%,略高于C组的91.4%,组间差异无统计学意义(P>0.05);所有患者手术后无严重并发症出现。结论:宫腔镜下黏膜下子宫肌瘤电切术临床疗效确切,且安全性好,尤其适用于0型及Ⅰ型黏膜下肌瘤患者。

Analysis on the clinical efficacy and safety of submucous uterine myoma electroresection under hysteroscope

Objective:To observe the clinical efficacy and safety of submucous uterine myoma electroresection under hysteroscope. Methods:126 patients with submucous uterine myoma who were treated in the hospital from September 2008 to November 2009 were selected,including 45 patients with type 0 submucous uterine myoma(A group),46 patients with type Ⅰsubmucous uterine myoma(B group) and 35 patients with type Ⅱ submucous uterine myoma(C group),all the patients were treated with submucous uterine myoma electroresection under hysteroscope,the therapeutic situations in the three groups were compared. Results:The amounts of blood loss during operation in A group and B group were significantly less than that in C group,the hospitalization times in A group and B group were significantly shorter than that in C group(P<0.05);the satisfaction rates of A group and B group were 97.8% and 95.7%,respectively,which were slightly higher than that of C group,there was no significant difference(P>0.05);no serious complications occurred after operation. Conclusion:The therapeutic effect of submucous uterine myoma electroresection under hysteroscope is definite,and the safety is good,the method is suitable for the patients with type 0 and type Ⅰ submucous uterine myoma especially.