CAJ | 학술논문

目的：探讨宫腔镜电切术治疗宫腔良性病变的有效性及安全性。方法对我院2012年5月至2013年5月收治的77例宫腔良性病变患者行宫腔镜电切术治疗的临床资料进行回顾性分析。结果手术均获成功，有2例术后低热，有1例术后第1天出现多量阴道流血。余未出现子宫穿孔、周围脏器损伤、过度水化综合征等并发症。手术时间为10～40 min ，平均（22±8）min ，出血量约为20～50 mL ，平均（36±11）mL ，治疗有效率100％。结论应用宫腔镜电切术治疗子宫内膜息肉、子宫黏膜下肌瘤等宫腔良性病变疗效良好，手术安全，值得临床大力推广使用。
목적：탐토궁강경전절술치료궁강량성병변적유효성급안전성。방법대아원2012년5월지2013년5월수치적77례궁강량성병변환자행궁강경전절술치료적림상자료진행회고성분석。결과수술균획성공，유2례술후저열，유1례술후제1천출현다량음도류혈。여미출현자궁천공、주위장기손상、과도수화종합정등병발증。수술시간위10～40 min ，평균（22±8）min ，출혈량약위20～50 mL ，평균（36±11）mL ，치료유효솔100％。결론응용궁강경전절술치료자궁내막식육、자궁점막하기류등궁강량성병변료효량호，수술안전，치득림상대력추엄사용。
Objective To evaluate the efficacy and safety of hysteroscopic surgery for patients with intrau-terine benign lesions .Methods The clinical data of 77 cases of uterine benign lesions underwent hysteroscopic re-section from May 2012 to May 2013 were retrospectively analyzed .Results All of the hysteroscopic surgeries were successful .There are two cases who have a fever after operation .There is one case that occurred lot of vagi-nal bleeding during the first day after operation .There is no case with uterine perforation ,surrounding organs damage ,excessive hydration syndrome and other complications .Operative time was 10-40 min ,an average of 22 min .Bleeding is about 20-50 mL ,an average of 36 mL .The effective treatment is 100% .Conclusion Hystero-scopic surgery for patients with endometrial polyps ,submucosal uterine fibroids and other benign uterine is effec-tive and safe .Hysteroscopic surgery for intrauterine benign lesions is worthy of vigorous promotion .