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目的探讨宫腔镜子宫肌瘤电切术临床应用效果。方法选择海口市人民医院黏膜下子宫肌瘤患者200例。以上患者均行宫腔镜子宫肌瘤电切术。结果本组宫腔镜手术时间平均17.1 min;手术出血量平均21.5 ml;患者术后在6~24 h内可下床活动,无一例患者在术后应用镇痛药。患者术后平均肛门排气时间为8.3h,患者住院天数平均为4.5 d。术后3个月复诊,3例患者第一次没切净的再次行宫腔镜手术。结论应用宫腔镜切除子宫肌瘤具有能保全子宫、手术创伤小、手术时间短、术后恢复快等优点,值得借鉴。
Objective To investigate the clinical effect of hysteroscopic uterine fibroids resection. Methods 200 cases of submucosal uterine fibroids in Haikou People’s Hospital were selected. More patients underwent hysteroscopic uterine fibroids resection. Results The average time of hysteroscopic surgery in this group was 17.1 min. The average amount of bleeding was 21.5 ml. The patients were allowed to get out of bed within 6-24 h postoperatively. None of the patients underwent postoperative analgesics. The average postoperative anal exhaust time was 8.3h and the average length of hospital stay was 4.5 days. Three months after the referral, three patients did not cut the first hysteroscopic surgery again. Conclusion Hysteroscopic hysterectomy has the advantages of preserving the uterus, small trauma, short operative time and rapid postoperative recovery, which is worth learning from.