中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2015年
18期
26-27
,共2页
宫腔镜子宫肌瘤电切术%腹腔镜子宫肌瘤剔除术%子宫肌瘤伴不孕%妊娠结局
宮腔鏡子宮肌瘤電切術%腹腔鏡子宮肌瘤剔除術%子宮肌瘤伴不孕%妊娠結跼
궁강경자궁기류전절술%복강경자궁기류척제술%자궁기류반불잉%임신결국
Transcervical resection of myoma%Trans-laparoscopy myomectomy%Uterine fibroid complicated with infertility%Pregnancy outcome
目的：分析宫腔镜子宫肌瘤电切术(TCRM)治疗子宫肌瘤伴不孕患者的妊娠结局,为制定最佳手术方案提供参考。方法86例采用腹腔镜子宫肌瘤剔除术(TLM)的患者作为 TLM 组,72例采用TCRM 治疗为主的子宫肌瘤伴不孕患者,设为 TCRM+TLM 组,所有患者均随访6~36个月,观察两组患者术后妊娠率、手术前后自然流产率。结果手术前两组累计妊娠次数与自然流产率比较,差异无统计学意义(P>0.05)。手术前后各组自然流产率比较,差异具有统计学意义(P<0.05)。TCRM+TLM 组术后妊娠率明显高于TLM组,差异具有统计学意义(P<0.05)；自然流产率两组比较,差异无统计学意义(P>0.05)。结论TCRM 治疗子宫肌瘤伴不孕对子宫的损伤较小,可明显增加妊娠率,降低自然流产率,与 TLM 共同进行可同时对盆腔情况予评估及治疗,明显优于单纯 TLM 治疗。
目的：分析宮腔鏡子宮肌瘤電切術(TCRM)治療子宮肌瘤伴不孕患者的妊娠結跼,為製定最佳手術方案提供參攷。方法86例採用腹腔鏡子宮肌瘤剔除術(TLM)的患者作為 TLM 組,72例採用TCRM 治療為主的子宮肌瘤伴不孕患者,設為 TCRM+TLM 組,所有患者均隨訪6~36箇月,觀察兩組患者術後妊娠率、手術前後自然流產率。結果手術前兩組纍計妊娠次數與自然流產率比較,差異無統計學意義(P>0.05)。手術前後各組自然流產率比較,差異具有統計學意義(P<0.05)。TCRM+TLM 組術後妊娠率明顯高于TLM組,差異具有統計學意義(P<0.05)；自然流產率兩組比較,差異無統計學意義(P>0.05)。結論TCRM 治療子宮肌瘤伴不孕對子宮的損傷較小,可明顯增加妊娠率,降低自然流產率,與 TLM 共同進行可同時對盆腔情況予評估及治療,明顯優于單純 TLM 治療。
목적：분석궁강경자궁기류전절술(TCRM)치료자궁기류반불잉환자적임신결국,위제정최가수술방안제공삼고。방법86례채용복강경자궁기류척제술(TLM)적환자작위 TLM 조,72례채용TCRM 치료위주적자궁기류반불잉환자,설위 TCRM+TLM 조,소유환자균수방6~36개월,관찰량조환자술후임신솔、수술전후자연유산솔。결과수술전량조루계임신차수여자연유산솔비교,차이무통계학의의(P>0.05)。수술전후각조자연유산솔비교,차이구유통계학의의(P<0.05)。TCRM+TLM 조술후임신솔명현고우TLM조,차이구유통계학의의(P<0.05)；자연유산솔량조비교,차이무통계학의의(P>0.05)。결론TCRM 치료자궁기류반불잉대자궁적손상교소,가명현증가임신솔,강저자연유산솔,여 TLM 공동진행가동시대분강정황여평고급치료,명현우우단순 TLM 치료。
Objective To analyze pregnancy outcome by transcervical resection of myoma (TCRM) in the treatment of uterine fibroid complicated with infertility, in order to provide reference for optimal surgical plan. Methods There were 86 patients undergoing trans-laparoscopy myomectomy (TLM) as TLM group, and 72 patients undergoing TCRM for main treatment of uterine fibroid as TCRM+TLM group. All patients received follow-up for 6~36 months, and their postoperative pregnancy rate, and spontaneous abortion rate before and after operation were observed. Results The difference of cumulative pregnancy times and spontaneous abortion rate between the two groups had no statistical significance before operation (P>0.05). The difference of spontaneous abortion rate between the two groups before operation had statistical significance (P<0.05). TCRM+TLM group had higher postoperative pregnancy rate than the TLM group, and their difference had statistical significance (P<0.05). There was no statistically significant difference of spontaneous abortion rate between the two groups (P>0.05). Conclusion TCRM in treating uterine fibroid complicated with infertility provides little uterine damage, with increased pregnancy rate and decreased spontaneous abortion rate. Its combination with TLM can provide assessment and treatment for pelvic cavity, and that is much better than single TLM treatment.
