宫腔镜电切术治疗宫内占位性病变69例
The hysteroscope electrotomy for treatment of intrauterine occupying lesions: reports of 69 cases
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摘要: 目的:探讨宫腔镜电切术治疗宫内占位性病变的疗效与优势。方法:宫腔镜电切术治疗宫内占位性病变69例,其中子宫黏膜下肌瘤41例(0型28例,Ⅰ型11例,Ⅱ型2例);子宫内膜息肉28例。结果:手术一次性成功68例,1例Ⅱ型子宫黏膜下肌瘤探查后中转开腹手术。平均手术时间(31.411.0)min,出血量(20.713.9)ml,住院时间(5.741.70)d,阴道流血时间(5.331.47)d。未发生经尿道电切综合征和子宫穿孔及邻近脏器损伤。术后随访6个月,满意率为98.5%。结论:宫腔镜电切术治疗宫内占位性病变具有创伤小、出血少、恢复快的优势。正确选择手术适应证,注意手术技巧,才能充分发挥宫腔镜的优势。Abstract: Objective: To study the effect and advantages of hysteroscope electrotomy in treatment of intrauterine occupying lesions.Methods: Sixtynine cases of intrauterine lesions including 41 cases of submucous myoma of the uterus(type 0 28 cases, type Ⅰ 11 cases and type Ⅱ 2 cases) and 28 cases of endometrial polyps underwent hysteroscope electrotomy.Results: Transcervical resection was performed successfully on 68 cases, and one case with type Ⅱ submucous myoma was converted to open surgery.The average operation time was(31.4 11.0) min,blood loss(20.7 13.9) ml and hospital stay(5.74 1.70) d.Uterine bleeding continued for(5.33 1.47) d.No syndrome of transurethal resection,uterine perforation or injury of the adjacent organs occurred.The satisfaction rate reached 98.5% in the 6 months' follow-up.Conclusions: Hysteroscope is safe and effective for treatment of intrauterine occupying lesions with the advantages of little trauma and hemorrhage, rapid recovery and short hospital stay.Proper selection of operation indications and full mastery of operation skills may achieve satisfactory results.