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目的探讨宫腔镜下手术治疗子宫黏膜下肌瘤100例临床体会。方法将2012年5月—2013年6月入住的200例子宫黏膜下肌瘤患者随机分为二组,观察组采用宫腔镜下手术治疗的方法,对照组采用传统开腹手术的方法,比较二组患者的治疗效果、术中及术后各项指标及并发症等。结果观察组手术有效率为96.0%,对照组为97.0%,差异无统计学意义(P>0.05);观察组手术切口、手术时间、术中出血量、术后排气时间、住院时间等均低于对照组,差异有统计学意义(P<0.05);观察组感染、大出血、月经量异常等并发症明显低于对照组,差异有统计学意义(P<0.05)。结论宫腔镜下手术治疗子宫黏膜下肌瘤疗效确切,创伤较小,利于患者恢复和保留生育功能,有积极的临床意义。
Objective To investigate the clinical experience of hysteroscopic surgery for uterine submucous myoma. Methods 200 cases of uterine submucosal fibroids admitted from May 2012 to June 2013 were randomly divided into two groups. The observation group was treated by hysteroscopic surgery, while the control group was treated by conventional laparotomy. Two groups of patients with treatment, intraoperative and postoperative indicators and complications. Results The operative efficiency was 96.0% in the observation group and 97.0% in the control group, with no significant difference (P> 0.05). The operative incision, operation time, intraoperative blood loss, postoperative exhaust time and hospital stay in the observation group The difference was statistically significant (P <0.05). The complications such as infection, hemorrhage and abnormal menstruation in the observation group were significantly lower than those in the control group (P <0.05). Conclusion Hysteroscopic surgery for the treatment of uterine submucosal fibroids curative effect is exact, less trauma, which is conducive to patients with recovery and retention of reproductive function, has a positive clinical significance.