宫腔镜电切术治疗黏膜下子宫肌瘤的价值分析(1)
【摘要】 目的：探讨宫腔镜电切术治疗黏膜下子宫肌瘤的价值。方法：选取笔者所在医院收治的82例黏膜下子宫肌瘤患者，根据不同治疗方案将其分为两组，各41例，观察组行宫腔镜电切术治疗，对照组行子宫动脉栓塞术治疗，比较两组的手术治疗情况和疗效，统计并发症发生率。结果：组间术中出血量和术后住院时间比较差异无统计学意义(P>0.05);观察组手术时间(54.68±10.29)min，短于对照组的(74.97±10.14)min
(P<0.05);观察组治疗有效率(95.12%)高于对照组(78.05%)，差异有统计学意义(P<0.05);观察组并发症发生率(9.76%)低于对照组(29.27%)，差异有统计学意义(P<0.05)。结论：宫腔镜电切术治疗黏膜下子宫肌瘤能够有效缩短手术时间，提升疗效，安全性可靠。
【关键词】 宫腔镜电切术 黏膜下子宫肌瘤 并发症
doi：10.14033/j.cnki.cfmr.2020.01.062 文献标识码 B 文章编号 1674-6805(2020)01-0-02
[Abstract] Objective： To explore the value of hysteroscopic electrotomy in the treatment of submucosal uterine fibroids. Method： A Total of 82 patients with submucosal uterine fibroids in our hospital were selected and divided into two groups according to different treatment regiments， with 41 cases in each group. The observation group received hysteroscopic electrotomy and the control group received uterine artery embolization. Result： There was no significant difference in intraoperative blood loss and postoperative hospital stay between two groups (P>0.05). The operation time of the observation group was (54.68±10.29) min， shorter than (74.97±10.14) min of the control group (P<0.05). The effective rate of the observation group (95.12%) was higher than that of the control group (78.05%)， the difference was statistically significant (P<0.05). The incidence of complications in the observation group (9.76%) was lower than that in the control group (29.27%)， the difference was statistically significant (P<0.05). Conclusion： Hysteroscopic electrotomy for submucosal uterine fibroids can effectively shorten the operation time， improve the efficacy and safety.
[Key words] Hysteroscopic electrotomy Submucosal uterine fibroids Complications
First-author’s address： Chongqing Wanzhou District Maternal and Child Health Care Hospital， Chongqing 404000， China
子宮肌瘤是妇科常见良性肿瘤病症，主要由平滑肌细胞增生引发所致，瘤体通常向子宫腔内生长，表层覆盖子宫内膜，属于宫腔占位性病变[1-2]。国内子宫肌瘤在全部妇科疾病中的发病率约为52.3%，其中黏膜下子宫肌瘤占比约为10%，可引发子宫异常收缩，出现痛经、月经量、月经周期紊乱情况，影响机体的生育功能[3-4]。目前主要采用子宫动脉栓塞术、开腹子宫切除肿瘤、子宫切除等手术方案治疗患者，但容易发生出血、下肢血栓等并发症，影响患者术后康复效果[5-6]。为了探讨更加科学的手术方案，本文就宫腔镜电切术治疗黏膜下子宫肌瘤的价值展开了如下分析。
1 资料与方法
1.1 一般资料
选取笔者所在医院妇科2017年3月-2019年3月收治的黏膜下子宫肌瘤患者82例。纳入标准：(1)符合《妇产科学》[7]中黏膜下子宫肌瘤的诊断标准，经B超检查确诊;(2)如存在多发性子宫肌瘤，以黏膜下子宫肌瘤为主;(3)瘤体直径<6 cm，瘤蒂<5 cm;(4)子宫体积<孕10周子宫大小，子宫长轴<12 cm;(5)均行手术治疗。排除标准：(1)器质性功能不全;(2)手术禁忌证;(3)子宫过度屈曲;(4)恶性肿瘤;(5)子宫瘢痕扩张受限。根据不同治疗方案将其分为两组，每组41例。对照组患者年龄26～48岁，平均(40.25±3.19)岁;黏膜下子宫肌瘤分型包括Ⅰ型30例，Ⅱ型11例。观察组患者年龄25～49岁，平均(40.56±3.42)岁;黏膜下子宫肌瘤分型包括Ⅰ型32例，Ⅱ型9例。患者均获知情权，上述数据对比同质性优良。, 百拇医药(高敏 徐明峡)
(P<0.05);观察组治疗有效率(95.12%)高于对照组(78.05%)，差异有统计学意义(P<0.05);观察组并发症发生率(9.76%)低于对照组(29.27%)，差异有统计学意义(P<0.05)。结论：宫腔镜电切术治疗黏膜下子宫肌瘤能够有效缩短手术时间，提升疗效，安全性可靠。
【关键词】 宫腔镜电切术 黏膜下子宫肌瘤 并发症
doi：10.14033/j.cnki.cfmr.2020.01.062 文献标识码 B 文章编号 1674-6805(2020)01-0-02
[Abstract] Objective： To explore the value of hysteroscopic electrotomy in the treatment of submucosal uterine fibroids. Method： A Total of 82 patients with submucosal uterine fibroids in our hospital were selected and divided into two groups according to different treatment regiments， with 41 cases in each group. The observation group received hysteroscopic electrotomy and the control group received uterine artery embolization. Result： There was no significant difference in intraoperative blood loss and postoperative hospital stay between two groups (P>0.05). The operation time of the observation group was (54.68±10.29) min， shorter than (74.97±10.14) min of the control group (P<0.05). The effective rate of the observation group (95.12%) was higher than that of the control group (78.05%)， the difference was statistically significant (P<0.05). The incidence of complications in the observation group (9.76%) was lower than that in the control group (29.27%)， the difference was statistically significant (P<0.05). Conclusion： Hysteroscopic electrotomy for submucosal uterine fibroids can effectively shorten the operation time， improve the efficacy and safety.
[Key words] Hysteroscopic electrotomy Submucosal uterine fibroids Complications
First-author’s address： Chongqing Wanzhou District Maternal and Child Health Care Hospital， Chongqing 404000， China
子宮肌瘤是妇科常见良性肿瘤病症，主要由平滑肌细胞增生引发所致，瘤体通常向子宫腔内生长，表层覆盖子宫内膜，属于宫腔占位性病变[1-2]。国内子宫肌瘤在全部妇科疾病中的发病率约为52.3%，其中黏膜下子宫肌瘤占比约为10%，可引发子宫异常收缩，出现痛经、月经量、月经周期紊乱情况，影响机体的生育功能[3-4]。目前主要采用子宫动脉栓塞术、开腹子宫切除肿瘤、子宫切除等手术方案治疗患者，但容易发生出血、下肢血栓等并发症，影响患者术后康复效果[5-6]。为了探讨更加科学的手术方案，本文就宫腔镜电切术治疗黏膜下子宫肌瘤的价值展开了如下分析。
1 资料与方法
1.1 一般资料
选取笔者所在医院妇科2017年3月-2019年3月收治的黏膜下子宫肌瘤患者82例。纳入标准：(1)符合《妇产科学》[7]中黏膜下子宫肌瘤的诊断标准，经B超检查确诊;(2)如存在多发性子宫肌瘤，以黏膜下子宫肌瘤为主;(3)瘤体直径<6 cm，瘤蒂<5 cm;(4)子宫体积<孕10周子宫大小，子宫长轴<12 cm;(5)均行手术治疗。排除标准：(1)器质性功能不全;(2)手术禁忌证;(3)子宫过度屈曲;(4)恶性肿瘤;(5)子宫瘢痕扩张受限。根据不同治疗方案将其分为两组，每组41例。对照组患者年龄26～48岁，平均(40.25±3.19)岁;黏膜下子宫肌瘤分型包括Ⅰ型30例，Ⅱ型11例。观察组患者年龄25～49岁，平均(40.56±3.42)岁;黏膜下子宫肌瘤分型包括Ⅰ型32例，Ⅱ型9例。患者均获知情权，上述数据对比同质性优良。, 百拇医药(高敏 徐明峡)
参见：首页 > 医疗版 > 疾病专题 > 妇产科 > 女性生殖器官肿瘤及肿瘤样病变 > 子宫肌瘤