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目的探讨宫腔镜下子宫黏膜下肌瘤电切术治疗的效果及安全性。方法对2006年1月～2011年12月期间某院临床诊断为子宫黏膜下肌瘤的58例行宫腔镜电切术治疗的患者资料进行回顾性分析。结果 (1)手术全程顺利,手术时间在10～46min之间,出血量为10～90ml,术后6h常规拔除尿管均可自行排尿,术后24h之内均完全下床活动,住院时间在5～7d出院。(2)术后评价治疗整体满意率为96.55%(56/58),0型黏膜下肌瘤治疗满意率均为100%(38/38),I型黏膜下肌瘤治疗满意率92.86%(13/14),II型黏膜下肌瘤治疗满意率83.33%(5/6)。(3)术中及术后未发生1例并发症及不良反应。结论宫腔镜下治疗子宫黏膜下肌瘤疗效满意,手术安全、可靠,术中应注意严格选择适应症及提高手术技巧。
Objective To investigate the efficacy and safety of hysteroscopic submucosal myoma resection. Methods A retrospective analysis was performed on the data of 58 cases undergoing hysteroscopic resection for the clinical diagnosis of uterine submucous myoma in a hospital from January 2006 to December 2011. Results (1) The operation was smooth and the operation time was between 10 and 46 minutes. The bleeding amount was 10 to 90ml. The conventional catheter removal was performed 6h after operation. All patients were completely discharged within 24h after operation, 5 ~ 7d discharged. (2) The overall satisfaction rate of postoperative evaluation was 96.55% (56/58). The satisfactory rate of type 0 submucosal fibroids was 100% (38/38), and the satisfactory rate of type I submucosal fibroids was 92.86% ( 13/14). The satisfaction rate of type II submucosal fibroids was 83.33% (5/6). (3) No complications and adverse reactions occurred in one case during and after operation. Conclusion Hysteroscopic treatment of uterine submucosal fibroids with satisfactory results, safe and reliable operation, intraoperative attention should be strictly chosen indications and improve surgical skills.