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目的 :研究子宫肌瘤合并不孕或流产性宫腔镜下子宫肌瘤切除术的临床效果。方法 :选取我院2011年9月至2014年9月期间入院治疗的子宫肌瘤合并不孕或流产患者54例,进行回顾性治疗分析,并对病因和手术类型进行分组后进行对比患者子宫黏膜下组织的对比,其中18例患者使用宫腔镜下子宫肌瘤电切切除术来进行治疗(甲组),18例患者使用宫腔镜下宫腔宫腔剜除术来完成治疗(乙组),18例患者使用宫腔镜下子宫剥离术来完成治疗(丙组),分析对比三组的治疗效果。结果 :丙组患者的出血量较之甲乙两组患者更少,P<0.05,三组患者在治疗手术的时间以及手术满意度和并发症产生率上均无统计学意义,P>0.05。甲组患者的妊娠率相对高于其他两组,其中P<0.05;乙组患者自然流产率高于甲组和丙组,其中P<0.05,对三个小组的足月产妊娠调研结果上分析,P>0.05,均无统计学意义。结论 :宫腔镜下子宫肌瘤切除术对不孕不育症状的治疗具有良好的治疗效果,属于一种更安全有效的微创手术疗法,可在临床上进行推广使用。
Objective: To study the clinical effect of myomectomy combined with infertility or abortion hysteroscopic myomectomy. Methods: 54 cases of uterine fibroids with infertility or miscarriage admitted to our hospital from September 2011 to September 2014 were retrospectively analyzed, and the etiology and type of surgery were compared to compare the uterine mucosa 18 patients underwent hysteroscopic resection of the uterine fibroids (Group A), and 18 patients underwent hysteroscopic hysteroscopic surgery (Group B ), 18 cases of hysteroscopic hysterectomy to complete the treatment (group C), analysis and comparison of the treatment effect of the three groups. Results: The bleeding volume of group C was less than that of group A and B (P <0.05). There was no significant difference between the three groups in the time of operation and the degree of surgical satisfaction and complication (P> 0.05). The pregnancy rate of Group A patients was relatively higher than that of the other two groups, P <0.05; the spontaneous abortion rate of patients in Group B was higher than that of Group A and C (P <0.05) , P> 0.05, no statistical significance. Conclusion: Hysteroscopic myomectomy has a good therapeutic effect on the treatment of infertility symptoms. It belongs to a safer and more effective minimally invasive surgery and can be widely used clinically.