宫腔镜电切术治疗Ⅱ型子宫黏膜下肌瘤两种切除方法对生殖预后的影响

发布时间：2018-04-24 00:37

本文选题：宫腔镜电切术 + Ⅱ型子宫黏膜下肌瘤　；参考：《中国实用妇科与产科杂志》2017年04期

【摘要】：目的探讨宫腔镜电切术治疗Ⅱ型子宫黏膜下肌瘤两种切除方法对生殖预后的影响。方法选择威海市妇幼保健院妇科2001年1月至2016年1月63例有生育要求的Ⅱ型子宫黏膜下肌瘤的患者,分为研究组(35例)、对照组(28例),研究组采用开窗后切除法,对照组采用直接切除法。观察宫腔镜下Ⅱ型子宫黏膜下肌瘤两种切除方法对子宫内膜、子宫肌层及妊娠的影响。结果 63例中61例一次手术切除肌瘤,一次手术成功率96.8%,均未发生严重并发症。研究组与对照组在手术时间、术中出血、术后复发、膨宫液用量、术后子宫肌层恢复等方面差异均无统计学意义(P0.05)。研究组与对照组在子宫内膜恢复、宫腔粘连发生、术后妊娠分娩率方面差异均有统计学意义(P0.05)。结论宫腔镜电切术治疗Ⅱ型子宫黏膜下肌瘤采用开窗后切除法的患者其生殖预后明显优于直接切除法。
[Abstract]:Objective to investigate the effect of two excision methods on the reproductive prognosis of type II submucous myoma of uterus treated by hysteroscopy. Methods 63 cases of submucous myoma of uterus with reproductive requirements from January 2001 to January 2016 in Weihai maternal and child health care hospital were divided into the study group (35 cases) and the control group (28 cases). The study group adopted the window after opening the window. The effect of two excision methods on endometrium, uterine myometrium and pregnancy was observed by hysteroscopic resection of submucous myoma of type II hysteromyoma under hysteroscopy. Results in 63 cases, 61 cases were excised by one operation, the success rate of one operation was 96.8%, and no serious complication occurred. The time of operation and the operation were in the study group and the control group. There was no significant difference in blood, postoperative recurrence, the dosage of uterine swelling fluid, and the recovery of myometrium after operation (P0.05). There were significant differences between the study group and the control group in the endometrium, the intrauterine adhesion and the rate of pregnancy delivery (P0.05). Conclusion the hysteroscopy in the treatment of type II submucous myoma of the uterus was used after window opening. The prognosis of patients with excision is significantly better than that of direct resection.

【作者单位】：威海市妇幼保健院妇一科;
【分类号】：R737.33

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