宫腔镜下手术治疗宫腔内病变临床应用研究.docVIP

宫腔镜下手术治疗宫腔内病变临床应用研究 　　【摘要】 目的：观察探讨宫腔镜下手术治疗宫腔内病变的临床应用价值。方法：选择2013年6月-2014年6月本院收治的子宫腔内病变患者106例作为研究对象，对所选患者进行相应的宫腔镜下手术治疗，观察术中情况及术后随访情况。结果：腹腔镜检查发现：子宫浆膜下肌瘤47例，盆腔粘连10例，输卵管堵塞18例，卵巢囊肿17例，子宫穿孔和肿块14例。术中轻度疼痛46例，中度疼痛49例，11例有迷走神经刺激症状。手术平均时间24.5 min，平均出血量31.5 mL。术后随访6个月，成功随访104例，失联2例，绝大多数患者的临床症状得到显著改善。结论：宫腔镜下手术治疗宫腔内病变临床疗效高，恢复速度快，值得临床推广应用。 　　【关键词】 宫腔镜； 手术治疗； 子宫病变； 临床观察 　　【Abstract】 Objective： To observe and investigate the clinical application value of surgical treatment under hysteroscopy in the treatment of intrauterine lesions.Method：106 patients who were treated in our hospital for uterine cavity lesions from June 2013 to June 2014 were selected as the research objects.They were given corresponding surgical treatment under hysteroscopy.The situation during the surgical and the situation of follow up were observed.Result：The laparoscopy found that there were 47 cases with subserosal uterine fibroids，10 cases with pelvic adhesions，18 cases with tubal blockage，17 cases with ovarian cysts and 14 cases with uterine perforation and mass.There were 46 cases with mild pain，49 cases with moderate pain and 11 cases with vagus nerve stimulation symptoms.The average operation time was 24.5 minutes and the average bleeding volume was 31.5 mL.The patients were followed up for 6 months，104 cases were followed up successfully and 2 cases lost contract.Most patients’ clinical symptoms were significantly improved.Conclusion：Surgical treatment under hysteroscopy in the treatment of intrauterine lesions has a high clinical effect and the recovery speed is fast，it is worthy of clinical application. 　　【Key words】 Hysteroscopy； Surgical treatment； Uterine lesions； Clinical observation 　　宫腔镜手术是指用宫腔镜来进行的微创手术，用于子宫腔的观察、诊断及治疗，其过程快速、无痛、不伤子宫，在现代的妇科诊断治疗中起着重要的作用[1-3]。本研究选择2013年6月-2014年6月本院收治的子宫腔内病变患者106例作为研究对象，在宫腔镜下进行手术治疗，收到了良好的效果，现报道如下。 　　1 资料与方法 　　1.1 一般资料 选择2013年6月-2014年6月本院收治的子宫腔内病变的患者106例作为研究对象，均在宫腔镜下进行手术治疗，其中子宫浆膜下肌瘤切除术47例，盆腔粘连切除术10例，输卵管堵塞疏通术18例，卵巢囊肿切除术17例，子宫穿孔缝合和肿块切除术14例。患者年龄22～56岁，平均39岁，病程1～6个