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目的:探讨宫腔镜子宫肌瘤切除术治疗子宫黏膜下肌瘤的疗效及安全性。方法:回顾性分析148例子宫黏膜下肌瘤接受宫腔镜电切术后的治疗效果。结果:148例子宫黏膜下肌瘤患者均顺利完成手术,无子宫穿孔。术前超声测量肌瘤最大直径55mm。术后随访3个月～5年,满意率96.6%,其中0型、Ⅰ型术后满意率达100%。25例有生育要求者,18例妊娠,6例分娩。结论:宫腔镜子宫肌瘤切除术是治疗子宫黏膜下肌瘤的首选方法。正确选择适应证,提高操作技巧,严格超声监测,是保障手术安全性和疗效的关键措施。
Objective: To investigate the efficacy and safety of hysteroscopic myomectomy in the treatment of uterine submucous myoma. Methods: A retrospective analysis of 148 cases of uterine submucous myoma undergoing hysteroscopic resection of the therapeutic effect. Results: 148 cases of uterine fibroids patients were successfully completed surgery, no uterine perforation. Preoperative ultrasound measurement fibroids maximum diameter of 55mm. Postoperative follow-up of 3 months to 5 years, the satisfaction rate of 96.6%, of which 0, Ⅰ type satisfaction rate of 100%. 25 cases of childbirth requirements, 18 cases of pregnancy, 6 cases of childbirth. Conclusion: Hysteroscopic myomectomy is the preferred method of treatment of uterine submucous myoma. The correct choice of indications, improve operating skills, strict ultrasound monitoring, is to protect the safety of surgery and the key measures.