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目的:评价自凝刀对粘膜下子宫肌瘤摘除术的疗效及安全性。方法:B超检查诊断为粘膜下子宫肌瘤45例。其中O型23例、I型16例、II型2例,肌瘤大小1.0~2.0cm23例、2.1~5.0cm20例、5.1~8.0cm2例。经宫腔在B超超导下行子宫肌瘤射频消融术并摘除。结果:各种类型粘膜下肌瘤均一次性手术成功,术中采血50~150ml,未发生一例并发症,术后随访3~12月,满意率100%。结论:自凝刀治疗子宫粘膜下肌瘤安全可靠,是目前去除肌瘤保全子宫的最佳方法。
Objective: To evaluate the efficacy and safety of self-coagulation knife for submucosal uterine fibroids removal. Methods: B - ultrasound diagnosis of submucosal uterine fibroids in 45 cases. There were 23 cases of type O, 16 cases of type I, 2 cases of type II, 23 cases of fibroids 1.0 ~ 2.0cm in size, 20 cases of 2.1 ~ 5.0cm and 5.1 ~ 8.0cm in 2 cases. The uterine cavity in the B-superficial uterine fibroids radiofrequency ablation and removal. Results: All kinds of submucosal fibroids were successfully operated in one time. Blood samples were taken from 50 to 150 ml during operation. No complication occurred. The follow-up period was 3 to 12 months. The satisfaction rate was 100%. Conclusion: Self-coagulation knife treatment of uterine submucosal fibroids safe and reliable, is the best method to remove fibroids preservation of the uterus.