中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2014年
4期
340-342
,共3页
宫腔镜%子宫内良性占位性病变%子宫肌瘤
宮腔鏡%子宮內良性佔位性病變%子宮肌瘤
궁강경%자궁내량성점위성병변%자궁기류
Hysteroscopy%Intrauterine benign space occupying lesion%Myoma of uterus
目的 探讨宫腔镜治疗子宫腔内良性占位性病变手术的安全性及临床效果.方法 2010年1月至2013年1月在我院住院治疗的子宫腔内良性占位性病变患者210例,均行宫腔镜检查,同时行电切术治疗;其中72例行宫腔息肉切除术,70例行子宫肌瘤切除,68例行妊娠组织残留清除术.术后随访6个月～2年,观察分析其疗效.结果 210例患者均一次手术成功,手术时间11～39 min,平均15min,术中出血5～70 ml,无术中并发症发生.术后1个月有94.1％ (191/203)的患者月经恢复正常,痛经改善率达87.7％ (178/203);术后6个月96.1％ (195/203)的患者月经正常,痛经改善率91.6％(186/203).2例宫腔息肉切除术后复发,再次行电切治愈.结论 宫腔镜治疗宫腔内良性占位性病变能保留子宫的完整性,疗效满意,安全可靠;患者损伤小、痛苦轻,恢复快,可作为治疗宫腔良性占位性病变的首选治疗方法.
目的 探討宮腔鏡治療子宮腔內良性佔位性病變手術的安全性及臨床效果.方法 2010年1月至2013年1月在我院住院治療的子宮腔內良性佔位性病變患者210例,均行宮腔鏡檢查,同時行電切術治療;其中72例行宮腔息肉切除術,70例行子宮肌瘤切除,68例行妊娠組織殘留清除術.術後隨訪6箇月～2年,觀察分析其療效.結果 210例患者均一次手術成功,手術時間11～39 min,平均15min,術中齣血5～70 ml,無術中併髮癥髮生.術後1箇月有94.1％ (191/203)的患者月經恢複正常,痛經改善率達87.7％ (178/203);術後6箇月96.1％ (195/203)的患者月經正常,痛經改善率91.6％(186/203).2例宮腔息肉切除術後複髮,再次行電切治愈.結論 宮腔鏡治療宮腔內良性佔位性病變能保留子宮的完整性,療效滿意,安全可靠;患者損傷小、痛苦輕,恢複快,可作為治療宮腔良性佔位性病變的首選治療方法.
목적 탐토궁강경치료자궁강내량성점위성병변수술적안전성급림상효과.방법 2010년1월지2013년1월재아원주원치료적자궁강내량성점위성병변환자210례,균행궁강경검사,동시행전절술치료;기중72례행궁강식육절제술,70례행자궁기류절제,68례행임신조직잔류청제술.술후수방6개월～2년,관찰분석기료효.결과 210례환자균일차수술성공,수술시간11～39 min,평균15min,술중출혈5～70 ml,무술중병발증발생.술후1개월유94.1％ (191/203)적환자월경회복정상,통경개선솔체87.7％ (178/203);술후6개월96.1％ (195/203)적환자월경정상,통경개선솔91.6％(186/203).2례궁강식육절제술후복발,재차행전절치유.결론 궁강경치료궁강내량성점위성병변능보류자궁적완정성,료효만의,안전가고;환자손상소、통고경,회복쾌,가작위치료궁강량성점위성병변적수선치료방법.
Objective To investigate the hysteroscopy application on uterine cavitary benign and its safety.Methods Two hundred and ten patients with benign lesions in the uterine cavity from Jan 2010 to Jan 2013 were selected as our subjects.They were underwent hysteroscopy and electric section,including 72 cases with uterine polyps resection,70 cases with uterine fibroids resection,and 68 cases with pregnancy tissue residue removal surgery.The follow up periods were 4 months to 2 years and the therapy effects were recorded.Results Two hundred and ten patients were got one successful operation.Operation period was ranged from 11 to 39 minutes and average was 15 minutes.The intraoperation bleeding volumes was ranged from 5 to 70 ml and no intraoperation complications occurred.During the follow-up periods,94.1％ (191/203) patients were recovered to regular menstruation and dysmenorrhea improvement rate was 87.70％ (178/203) at 1 month after operation.At 6 months after operation,96.1％ (195/203) and 91.6％ (186/203) patient were with the regular menstruation and dysmenorrhea improvement.Two cases with uterine cavitypolyp were reoccurred after operation and cured by electron section.Conclusion Hysteroscopy in treatment of benign uterine lesions is showed the satisfactory curative effect in terms of keep uterus integrity with little injury,slight pain.It is proved to be as the prefer methods to treatment for benign uterine cavity lesions.
