摘要
目的评价宫腔镜手术治疗子宫肌瘤的疗效及安全性。方法经宫颈子宫肌瘤切除术者62例,其中0型黏膜下肌瘤32例,Ⅰ型22例,Ⅱ型8例。根据术后月经改善情况、剩余肌瘤有无增长、是否再次手术等将疗效分为满意和不满意。结果应用宫腔镜手术治疗子宫黏膜下肌瘤,术后满意率为95.2%,0型、Ⅰ型术后满意率达100%。Ⅱ型术后满意率为62.5%,其中切除范围≥70%者3例,术后随访残余肌瘤不再生长。全部手术无1例并发症发生。结论治疗子宫黏膜下肌瘤,宫腔镜手术是最佳选择。正确选择手术适应证,严格B超监测是提高手术疗效和安全性的保障。
[ Objective ] To evaluate therapeutic effect and safety of transeervical resection of myoma with hysteroseope. [ Methods ] Sixty two eases were treated by transcervical resection of myoma under hysteroscope. Among them, 32 cases were type 0, 22 type I and 8 type Ⅱ. Curative effects were evaluated as satisfactory rate according to post-operative menstruation improvement, residual myoma growth and repeated surgeries. [ Results ] The total satisfactory rate was 95.2%. And satisfactory rate of type 0 and I reached 100%. While the satisfactory rate of type II was 62.5%, In three cases of type Ⅱ more than 70% of myoma were resected without growth of residual myoma later. There was no complication in any patient. [ Conclusions ] Hysteroscopic operation is the best choice in treating submueous myoma. Proper indication selected for operations, B ultrasonographic monitoring are important for ensuring the operative effect and safety.
出处
《中国内镜杂志》
CSCD
北大核心
2009年第8期846-849,共4页
China Journal of Endoscopy
