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目的探讨B超监护下宫腔镜电切术治疗子宫粘膜下肌瘤的临床价值。方法回顾性分析经病理确诊为子宫粘膜下肌瘤的宫腔镜电切术89例患者的临床资料,所有病例术中应用B超监护。按有蒂肌瘤(0型)和无蒂肌瘤(I型及Ⅱ型)分组,比较两组的手术情况和疗效。结果本组89例患者,84例一次性完成手术;有蒂组的手术时间、术中出血量、住院时间均明显低于无蒂组(P<0.05),但手术满意率明显高于无蒂组(P<0.05)。结论 B超监测下宫腔镜子宫肌瘤切除术用于治疗子宫粘膜下肌瘤安全、有效,满意度高,可作为最佳治疗方法,值得临床推广。
Objective To investigate the clinical value of hysteroscopic electrotomy for the treatment of uterine submucosal fibroids under B-ultrasound. Methods The clinical data of 89 patients undergoing hysteroscopic resection of uterine fibroids diagnosed by pathology were retrospectively analyzed. All cases were treated with B-ultrasound during operation. According to pedicle fibroids (0 type) and no pedicle fibroids (type I and type II) grouping, the two groups were compared the operation and efficacy. Results In the group of 89 patients, 84 patients completed the surgery at one time. The operation time, intraoperative blood loss and hospital stay in pedicle group were significantly lower than those in pedicle group (P <0.05), but the satisfaction rate was significantly higher Group (P <0.05). Conclusion B-monitoring hysteroscopic myomectomy for the treatment of uterine submucosal fibroids safe, effective, high satisfaction, can be used as the best treatment, is worth clinical promotion.