CAJ | 학술논문

目的：评价宫腔镜下治疗粘膜下子宫肌瘤的临床疗效。方法分析42例粘膜下子宫肌瘤患者的临床资料。42例患者中 O 型15例，Ⅰ型19例，Ⅱ型8例。所有患者均给予宫腔镜下粘膜下子宫肌瘤切除术，术后随访至2014年3月。术后通过满意度调查评估患者的生育能力、剩余肌瘤是否增长以及月经改善情况，评价临床疗效。结果宫腔镜下粘膜下子宫肌瘤切除术术后满意度达97.6%，其中 O 型、Ⅰ型术后满意度为100%；30例要求生育的患者中有14例顺利妊娠，其中6例已成功分娩。结论在 B 超监视下进行宫腔镜手术治疗粘膜下子宫肌瘤安全、可靠、有效，可作为粘膜下子宫肌瘤治疗的首选方法。
목적：평개궁강경하치료점막하자궁기류적림상료효。방법분석42례점막하자궁기류환자적림상자료。42례환자중 O 형15례，Ⅰ형19례，Ⅱ형8례。소유환자균급여궁강경하점막하자궁기류절제술，술후수방지2014년3월。술후통과만의도조사평고환자적생육능력、잉여기류시부증장이급월경개선정황，평개림상료효。결과궁강경하점막하자궁기류절제술술후만의도체97.6%，기중 O 형、Ⅰ형술후만의도위100%；30례요구생육적환자중유14례순리임신，기중6례이성공분면。결론재 B 초감시하진행궁강경수술치료점막하자궁기류안전、가고、유효，가작위점막하자궁기류치료적수선방법。
ObJective:To evaluate the clinical effect of hysteroscopic in treatment of the submucous myoma of uterus. Methods:The clinical data of 42 cases of patients with uterine myoma submucous were analyzed. In 42 cases,there were 15 cases of type O,19 patients with type I,and 8 cases of typeⅡ. All patients were treated with hysteroscopic submucous resection of myoma of uterus,postoperative follow up to March 2014. Through satisfaction evaluation of patients with fertili-ty,residual myoma growth and menses,the clinical efficacy was evaluated. Results:The resection satisfaction of hystero-scopic submucous myoma of uterus was 97. 6% ,and type O and type Ⅰ postoperative satisfaction was 100% . Fourteen ca-ses had successful pregnancy and 6 cases had successful delivery in the 30 cases of child patients. Conclusion:The treat-ment of submucous myoma of uterus under hysteroscopic operation in B ultrasound monitoring is safe,reliable and effective, which can be used as the preferred method of treatment of submucous myoma of uterus.