国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2014年
10期
1363-1365
,共3页
子宫内膜息肉%宫腔镜电切术
子宮內膜息肉%宮腔鏡電切術
자궁내막식육%궁강경전절술
Endometrial polyp%Hysteroscopic electrocision
目的 探讨宫腔镜治疗子宫内膜息肉的临床疗效及术后复发率.方法 对2011年1月至2011年12月因子宫异常出血来本院就诊,经B超及宫腔镜检查诊断为子宫内膜息肉的58例患者行宫腔镜子宫内膜息肉电切术.记录患者手术时间、出血量,术后定期随访1年,追踪患者术后月经变化、贫血恢复情况及子宫内膜息肉复发情况.结果 58例患者均顺利完成手术,手术时间为10 ～ 18 min,平均(12.0± 1.3) min,术中出血量5～15ml,平均(8.0±2.5)ml,手术一次成功率为100.0％,无手术并发症发生.术后随访1年,月经量增多者的治疗有效率为95.2％,不规则阴道流血者的治疗有效率为93.7％.因月经量过多致贫血者术后随访1～3月血色素明显上升,基本恢复正常.所有患者术后1年复查B超及宫腔镜检查均未发现子宫内膜息肉复发.结论 宫腔镜子宫内膜息肉电切术是治疗子宫内膜息肉的有效方法,具有手术时间短、出血少、损伤小、术后复发率低、疗效确切等特点,值得临床广泛推广应用.
目的 探討宮腔鏡治療子宮內膜息肉的臨床療效及術後複髮率.方法 對2011年1月至2011年12月因子宮異常齣血來本院就診,經B超及宮腔鏡檢查診斷為子宮內膜息肉的58例患者行宮腔鏡子宮內膜息肉電切術.記錄患者手術時間、齣血量,術後定期隨訪1年,追蹤患者術後月經變化、貧血恢複情況及子宮內膜息肉複髮情況.結果 58例患者均順利完成手術,手術時間為10 ～ 18 min,平均(12.0± 1.3) min,術中齣血量5～15ml,平均(8.0±2.5)ml,手術一次成功率為100.0％,無手術併髮癥髮生.術後隨訪1年,月經量增多者的治療有效率為95.2％,不規則陰道流血者的治療有效率為93.7％.因月經量過多緻貧血者術後隨訪1～3月血色素明顯上升,基本恢複正常.所有患者術後1年複查B超及宮腔鏡檢查均未髮現子宮內膜息肉複髮.結論 宮腔鏡子宮內膜息肉電切術是治療子宮內膜息肉的有效方法,具有手術時間短、齣血少、損傷小、術後複髮率低、療效確切等特點,值得臨床廣汎推廣應用.
목적 탐토궁강경치료자궁내막식육적림상료효급술후복발솔.방법 대2011년1월지2011년12월인자궁이상출혈래본원취진,경B초급궁강경검사진단위자궁내막식육적58례환자행궁강경자궁내막식육전절술.기록환자수술시간、출혈량,술후정기수방1년,추종환자술후월경변화、빈혈회복정황급자궁내막식육복발정황.결과 58례환자균순리완성수술,수술시간위10 ～ 18 min,평균(12.0± 1.3) min,술중출혈량5～15ml,평균(8.0±2.5)ml,수술일차성공솔위100.0％,무수술병발증발생.술후수방1년,월경량증다자적치료유효솔위95.2％,불규칙음도류혈자적치료유효솔위93.7％.인월경량과다치빈혈자술후수방1～3월혈색소명현상승,기본회복정상.소유환자술후1년복사B초급궁강경검사균미발현자궁내막식육복발.결론 궁강경자궁내막식육전절술시치료자궁내막식육적유효방법,구유수술시간단、출혈소、손상소、술후복발솔저、료효학절등특점,치득림상엄범추엄응용.
Objective To explore the clinical efficacy of hysteroscopy in the treatment of endometrial polyp and its recurrence rate.Methods Hysteroscopic endometrial polyp electrocision was performed on 58 patients who came to our hospital because of abnormal uterine bleeding from January to December,2011 and were diagnosed with endometrial polyp with type-B ultrasonic and hysteroscopic examination.The operation time and bleeding volume were recorded.The patients were followed up for 1 year to understand the patients' menstrual changes,state of the recovery from anaemia,and recurrence rate of endometrial polyp.Results The operation was successful in one time in all patients.The operation time was 10 to 18 minutes with an average of (12.0 ± 1.3) minutes.The bleeding volume was 5 to 15 ml with an average of (8.0 ± 2.5) ml.No complication occurred.The follow-up showed that the cure rates of menorrhagia and irregular vaginal bleeding were 95.2％ and 93.7％,respectively.The hemochromatosis was markedly increased to almost normal level in the patients with anemia caused by menorrhagia.The type-B ultrasonic and hysteroscope examination indicated that no case recurred.Conclusions Hysteroscopic electrocision in the treatment of endometrial polyp is effective,has short operation time,low bleeding volume,and low recurrence rate,and is worth being clinically generalized.
