宫腔镜下子宫黏膜下肌瘤电切术50例临床效果观察
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摘要
目的观察宫腔镜下子宫黏膜下肌瘤电切术的临床效果。方法将我院收治的100例子宫黏膜下肌瘤患者分为两组,每组50例,实验组采用宫腔镜下子宫黏膜下肌瘤电切术治疗,对照组采用腹腔镜下子宫黏膜下肌瘤电切术治疗,比较两组的临床效果。结果两组手术时间、术中出血量比较差异无统计学意义(P> 0.05);实验组肛门排气时间与住院时间短于对照组,术中不良事件发生率(4.00%)低于对照组(22.00%),宫腔粘连发生率(0%)低于对照组(18.00%),两组差异有统计学意义(P <0.05)。结论宫腔镜下子宫黏膜下肌瘤电切术的临床效果较佳,各项手术指标均比较理想,术中不良事件发生率低,无宫腔粘连,术后恢复快。
Objective To observe the clinical effect of hysteroscopic electrosurgery resection of submucous myoma of uterus. Methods 100 cases of submucous myoma of uterus in our hospital were divided into two groups, 50 cases in each group. The experimental group was treated with hysteroscopic electrosurgery submucous myomectomy, and the control group was treated with laparoscopic submucous myomectomy, and the clinical effects of the two groups were compared. Results There was no statistical significance in the operation time and the amount of bleeding between the two groups(P > 0.05). The anal exhaust time and hospital time in the experimental group were shorter than those in the control group, the incidence of adverse events in the operation was 4.00% in the experimental group, lower than that of the control group(22.00%), and the incidence of intrauterine adhesions was 0% in the experimental group, lower than that of the control group(18.00%), and there was statistically significant difference(P < 0.05). Conclusion The clinical effect of hysteroscopic electrosurgery resection of submucous submucous myoma is better, all the operative indexes are ideal, the incidence of adverse events in the operation is low,there is no intrauterine adhesion, and the postoperative recovery is fast.
Objective To observe the clinical effect of hysteroscopic electrosurgery resection of submucous myoma of uterus. Methods 100 cases of submucous myoma of uterus in our hospital were divided into two groups, 50 cases in each group. The experimental group was treated with hysteroscopic electrosurgery submucous myomectomy, and the control group was treated with laparoscopic submucous myomectomy, and the clinical effects of the two groups were compared. Results There was no statistical significance in the operation time and the amount of bleeding between the two groups(P > 0.05). The anal exhaust time and hospital time in the experimental group were shorter than those in the control group, the incidence of adverse events in the operation was 4.00% in the experimental group, lower than that of the control group(22.00%), and the incidence of intrauterine adhesions was 0% in the experimental group, lower than that of the control group(18.00%), and there was statistically significant difference(P < 0.05). Conclusion The clinical effect of hysteroscopic electrosurgery resection of submucous submucous myoma is better, all the operative indexes are ideal, the incidence of adverse events in the operation is low,there is no intrauterine adhesion, and the postoperative recovery is fast.
引文
[1]李析蒨,丁洪波,孙小淳.宫腔镜下电切术治疗子宫黏膜下肌瘤的效果观察[J].中国妇幼保健,2017,32(22):5756-5757.
[2]彭玲.宫腔镜电切术治疗黏膜下子宫肌瘤的疗效分析[J].皖南医学院学报,2017,36(1):71-73.
[3]王岚兰.宫腔镜与腹腔镜下治疗子宫黏膜下肌瘤的疗效比较[J].中国药物与临床,2017,17(2):251-253.
[4]彭广侠.宫腔镜电切术治疗黏膜下子宫肌瘤40例的临床疗效及预后分析[J].实用临床医药杂志,2017,21(13):148-149.
[5]黎先萍,李娟,张敏.宫腔镜下子宫黏膜下肌瘤切除不同治疗模式的对比研究[J].中国计划生育和妇产科,2017,9(10):60-62,67.
[6]薛燕,张芬,李春芳,等.宫腔镜下电切除术治疗不同分型子宫黏膜下肌瘤对患者生育能力的影响[J].解放军医药杂志,2017,29(9):13-16.
[7]董启秀,陈翠红,王蓓蓓,等.宫腔镜等离子双极电切术治疗子宫黏膜下肌瘤的临床疗效探讨[J].中国继续医学教育,2017,9(16):85-86.
[8]马丹.宫腔镜下等离子双极电切术对子宫黏膜下肌瘤患者血糖、电解质及生命体征的影响[J].河南医学研究,2017,26(3):490-491.
[9]高雪.比较宫腔镜、腹腔镜下治疗子宫黏膜下大肌瘤的手术效果[J].中国实用医药,2016,11(30):134-135.
[10]梁文丽.宫腔镜电切术治疗42例子宫黏膜下肌瘤疗效分析[J].河南外科学杂志,2017,23(3):82-83.
[11]许玲.宫腔镜电切术治疗黏膜下子宫肌瘤的疗效及安全性分析[J].中国现代药物应用,2017,11(22):40-41.
[12]李其香.宫腔镜电切术治疗子宫黏膜下肌瘤患者的临床效果研究[J].中国继续医学教育,2018,10(24):81-82.
[13]朱薇薇.宫腔镜电切治疗子宫黏膜下肌瘤的临床疗效及安全性[J].现代医药卫生,2017,33(5):743-744.
[2]彭玲.宫腔镜电切术治疗黏膜下子宫肌瘤的疗效分析[J].皖南医学院学报,2017,36(1):71-73.
[3]王岚兰.宫腔镜与腹腔镜下治疗子宫黏膜下肌瘤的疗效比较[J].中国药物与临床,2017,17(2):251-253.
[4]彭广侠.宫腔镜电切术治疗黏膜下子宫肌瘤40例的临床疗效及预后分析[J].实用临床医药杂志,2017,21(13):148-149.
[5]黎先萍,李娟,张敏.宫腔镜下子宫黏膜下肌瘤切除不同治疗模式的对比研究[J].中国计划生育和妇产科,2017,9(10):60-62,67.
[6]薛燕,张芬,李春芳,等.宫腔镜下电切除术治疗不同分型子宫黏膜下肌瘤对患者生育能力的影响[J].解放军医药杂志,2017,29(9):13-16.
[7]董启秀,陈翠红,王蓓蓓,等.宫腔镜等离子双极电切术治疗子宫黏膜下肌瘤的临床疗效探讨[J].中国继续医学教育,2017,9(16):85-86.
[8]马丹.宫腔镜下等离子双极电切术对子宫黏膜下肌瘤患者血糖、电解质及生命体征的影响[J].河南医学研究,2017,26(3):490-491.
[9]高雪.比较宫腔镜、腹腔镜下治疗子宫黏膜下大肌瘤的手术效果[J].中国实用医药,2016,11(30):134-135.
[10]梁文丽.宫腔镜电切术治疗42例子宫黏膜下肌瘤疗效分析[J].河南外科学杂志,2017,23(3):82-83.
[11]许玲.宫腔镜电切术治疗黏膜下子宫肌瘤的疗效及安全性分析[J].中国现代药物应用,2017,11(22):40-41.
[12]李其香.宫腔镜电切术治疗子宫黏膜下肌瘤患者的临床效果研究[J].中国继续医学教育,2018,10(24):81-82.
[13]朱薇薇.宫腔镜电切治疗子宫黏膜下肌瘤的临床疗效及安全性[J].现代医药卫生,2017,33(5):743-744.