日间宫腔镜子宫内膜息肉切除术42例临床体会

发布时间：2018-06-13 11:05

本文选题：日间手术 + 宫腔镜　；参考：《中国微创外科杂志》2015年07期

【摘要】：目的探讨日间手术模式应用于宫腔镜子宫内膜息肉切除术的可行性与安全性。方法我院2012年7月~2013年6月42例宫腔镜下子宫内膜息肉切除术采用日间手术模式中的过夜模式,即入院当日手术,当晚留院观察,次日出院,观察住院费用,术后疼痛、阴道流血等手术效果。结果 42例宫腔镜子宫内膜息肉切除术顺利完成。2例因腹痛腹胀明显伴有阴道流血多而延长住院时间;1例术后恶心较重而延长住院时间。除3例延迟出院外,39例均在住院24 h内手术并安全离院,住院费用(3685±338)元。1例术后第5天病理回报中重度不典型增生,再次住院行全子宫切除手术治疗。39例24 h内出院中,除2例失访和1例不典型增生,余36例对日间宫腔镜手术模式疗效满意。结论日间手术模式应用于宫腔镜子宫内膜息肉切除术可行、安全。
[Abstract]:Objective to investigate the feasibility and safety of day operation in hysteroscopic resection of endometrial polyps. Methods from July 2012 to June 2013, 42 cases of hysteroscopic endometrial polyposis resection were treated by overnight operation, i.e., operation on the day of admission, stay in hospital that night, discharge the next day, observe the cost of hospitalization and postoperative pain. Vaginal bleeding and other surgical results. Results 42 cases of hysteroscopic endometrial polyposis resection were successfully completed. 2 cases were prolonged hospitalization time due to abdominal pain abdominal distension and vaginal bleeding. 1 case had severe postoperative nausea and prolonged hospitalization time. Except for 3 cases of delayed discharge, 39 cases were operated in hospital within 24 hours and left hospital safely. The cost of hospitalization was 3685 卤338 yuan. 1 cases of moderate and severe atypical hyperplasia were returned by pathology on the 5th day after operation. In addition, 39 cases were discharged from hospital within 24 hours after total hysterectomy. Except for 2 cases of missing visit and 1 case of atypical hyperplasia, 36 cases were satisfied with the curative effect of day hysteroscopic operation. Conclusion the method of day operation is safe and feasible for hysteroscopic resection of endometrial polyps.
【作者单位】：哈尔滨二四二医院妇科;
【分类号】：R713.4

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