宫腔镜手术治疗黏膜下子宫肌瘤效果分析.docVIP

宫腔镜手术治疗黏膜下子宫肌瘤效果分析 　　 　　[摘要] 目的 分析宫腔镜手术治疗黏膜下子宫肌瘤的效果，以提高诊治水平。 方法 回顾性分析本院近3年来收治的75例黏膜下子宫肌瘤患者的临床表现、影像学及实验室检查、诊治及预后资料。 结果 75例黏膜下子宫肌瘤患者宫腔镜手术均顺利完成，术中无并发症发生，术后随访3~24个月，疗效满意，显效51例，占68%，有效24例，占32%，无复发病例。 结论 做好术前诊断、完善术前准备工作、手术在腹部B超监测下严格按技术要求操作、预防和处理术后并发症是确保宫腔镜手术治疗完全成功的关键。 　　[关键词] 宫腔镜；黏膜下子宫肌瘤；肌瘤切除术；效果分析 　　[中图分类号] R711.74[文献标识码] B[文章编号] 1674-4721（2014）05（a）-0171-03 　　 　　Effect analysis of hysteroscopic surgery in the treatment of submucous uterine myoma 　　DING Cheng-yu TAO Ying-zhen 　　The First People′s Hospital of Akesu Prefecture in the Xinjiang Uygur Autonomous Region,Akesu843000,China 　　[Abstract] Objective To analyze the effects of hysteroscopic surgery in the treatment of submucous uterine myoma in order to improve the level of diagnosis and treatment. Methods Clinical manifestations,image data,laboratory tests,data of diagnosis,treatment and prognosis in 75 patients with submucous uterine myoma admitted into our hospital in recent 3 years were retrospectively analyzed. Results Hysteroscopic surgeries for 75 patients with submucous uterine myoma were successful and there was no serious complication occurred during surgeries.After surgery,3 to 24 months follow up visits were implemented and the curative effects were satisfied.Excellent cases were 51 and effective cases were 24,accounting for 68% and 32% respectively.There was no recurred case. Conclusion The key points to ensure the complete success of hysteroscopic surgery are make a good preoperative diagnosis,perfect preoperative preparations,strictly follow technical requirements under surveillance of abdominal B ultrasound during surgery,prevent and tackle the postoperative complication. 　　[Key words] Hysteroscope;Submucous uterine myoma;Myomectomy;Effect analysis 　　子宫肌瘤主要是由子宫平滑肌细胞增生而产生的一种良性肿瘤，属妇科常见病和多发病，发病率达20%～40%，以30～50岁的育龄女性为高发人群，各型肌瘤中黏膜下肌瘤约占15％[1]，手术切除是目前主要的治疗方法，其中传统开腹手术要开腹、切开宫腔，会导致子宫留下瘢痕，甚至妊娠后期子宫破裂，采用宫腔镜微创手术治疗可在不开腹条件下切除黏膜下肌瘤，并保留子宫，有创伤小、时间短、并发症少、不影响卵巢功能的优点，成为治疗黏膜下子宫肌瘤的最佳选择[2]。具体手术实施必须从该病诊断、术前准备、手术细节、术