CAJ | 학술논문

目的：比较在经宫颈子宫中隔切除术（TCRS）术中超声和腹腔镜两种监护方法的手术效果。方法选择2010年1月至2013年8月子宫中隔住院患者126例，将其随机分为超声组（70例）和腹腔镜组（56例），在TCRS术中分别用超声和腹腔镜监护，比较其手术情况，并随访6~24个月，比较术后近远期并发症及妊娠结局。结果两组患者均能顺利完成手术。但超声组手术时间、首次下床时间、术后24hNRS值、术后住院日、术后中隔残留发生率均明显少于腹腔镜组，差异有统计学意义（P＜0.05）；余手术近远期并发症发生率及妊娠结局均无明显差异（P＞0.05）。结论超声引导和腹腔镜监视下TCRS均是安全、有效的治疗子宫中隔的方法，但超声引导更简便、无创、经济、准确，对于术前检查盆腔无异常病变子宫中隔患者，我们更倾向于选择超声引导下TCRS。
목적：비교재경궁경자궁중격절제술（TCRS）술중초성화복강경량충감호방법적수술효과。방법선택2010년1월지2013년8월자궁중격주원환자126례，장기수궤분위초성조（70례）화복강경조（56례），재TCRS술중분별용초성화복강경감호，비교기수술정황，병수방6~24개월，비교술후근원기병발증급임신결국。결과량조환자균능순리완성수술。단초성조수술시간、수차하상시간、술후24hNRS치、술후주원일、술후중격잔류발생솔균명현소우복강경조，차이유통계학의의（P＜0.05）；여수술근원기병발증발생솔급임신결국균무명현차이（P＞0.05）。결론초성인도화복강경감시하TCRS균시안전、유효적치료자궁중격적방법，단초성인도경간편、무창、경제、준학，대우술전검사분강무이상병변자궁중격환자，아문경경향우선택초성인도하TCRS。
ObjectiveTo compare the effects of ultrasonography with laparoscopy on transcervical resection of septa (TCRS).MethodsThe study included 126 patients with uterine septum at the present hospital between January 2010 and August 2013 that were randomly divided into two groups. Seventy patients had TCRS monitored by ultrasound (ultrasound group) while 56 patients were monitored by laparoscope (laparoscope group). Both groups were followed up for six to 24 months. The intraoperative status, short-term and long-term complications after operation, and pregnancy outcome of two groups were compared.ResultsThe operations of both groups were successfully completed. The operating time, the ifrst time to get out of bed, postoperative 24hNRS (numeric rating scale) values, postoperative hospital stay, and the incidence of postoperative septum residue of ultrasound group were signiifcantly less than laparoscope group (P<0.05). No statistical differences were observed in intraoperative complications and pregnancy ratio between the two groups. ConclusionBoth ultrasound and laparoscope monitored TCRS were safe and effective in the treatment of uterine septum. Ultrasound monitored TCRS was more simple, economical, accurate, and non-invasive. For patients without abnormal lesions in pelvic cavity, the present authors tend to choose the ultrasound monitored TCRS.