宫腔镜与开腹手术治疗粘膜下子宫肌瘤的对照研究
宫腔镜,,宫腔镜；粘膜下子宫肌瘤；肌瘤切除术；子宫切除术,1资料和方法,2结果,3讨论,参考文献:
摘要: 目的： 探讨宫腔镜子宫肌瘤切除术的手术方法、术后疗效及临床应用价值。方法：回顾性分析比较宫腔镜治疗粘膜下子宫肌瘤34例(观察组)和因子宫肌瘤行子宫切除术42例(对照组)患者的手术和术后情况。结果：观察组手术时间(16.47±4.69)min,对照组手术时间(106.54±36.90) min (P<0.001)。观察组术中出血(20.29±6.62) ml, 对照组术中出血(96.19±49.53) ml (P<0.001) 。观察组术后住院天数(4.38±0.82) d，对照组术后住院天数(8.33±2.50)d (P<0.001)。观察组术后排气时间(7.38±4.86) h,对照组术后排气时间(35.33±15.75) h(P<0.001)。结论：宫腔镜子宫肌瘤切除术具有创伤小、术中出血少、术后恢复快、住院时间短、免除开腹切除子宫之苦等优点，是目前治疗粘膜下子宫肌瘤的理想、有效、安全的方法。关键词: 宫腔镜；粘膜下子宫肌瘤；肌瘤切除术；子宫切除术
Control study on the treatment of submucosal myoma in hysteroscopic
surgery or hysterectomy
WAN Xiaohui, DING Yan
(Department of Gynecology, First Affiliated Hospital, Xinjiang Medical University，Urumqi 830054, China)
Abstract: Objective: To discusse the method, results and clinical value of TCRM. Methods: 34 patients treated by TCRM and 42 patients with myoma treated by hysterectomy(the size of utrine <10w) were divided 2 groups .The duration of operation, bleeding volume during operation, hospital stay after operation, the time of bowel function recurrence and cost of hospitalization were compared by retrospective study. Results: There were significant differences in the duration of operation, bleeding volume during operation, hospital stay after operation and the time of bowel function recurrence between two groups (P<0.001). Conclusion: Because of its rapid recovery, less pain, shorter duration of operation, little trauma and early discharge, TCRM is one of effective and safe methods to treat myoma. ......
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