CAJ | 학술논문

目的：观察探讨宫腔镜下手术治疗宫腔内病变的临床应用价值。方法：选择2013年6月-2014年6月本院收治的子宫腔内病变患者106例作为研究对象，对所选患者进行相应的宫腔镜下手术治疗，观察术中情况及术后随访情况。结果：腹腔镜检查发现：子宫浆膜下肌瘤47例，盆腔粘连10例，输卵管堵塞18例，卵巢囊肿17例，子宫穿孔和肿块14例。术中轻度疼痛46例，中度疼痛49例，11例有迷走神经刺激症状。手术平均时间24.5 min，平均出血量31.5 mL。术后随访6个月，成功随访104例，失联2例，绝大多数患者的临床症状得到显著改善。结论：宫腔镜下手术治疗宫腔内病变临床疗效高，恢复速度快，值得临床推广应用。
목적：관찰탐토궁강경하수술치료궁강내병변적림상응용개치。방법：선택2013년6월-2014년6월본원수치적자궁강내병변환자106례작위연구대상，대소선환자진행상응적궁강경하수술치료，관찰술중정황급술후수방정황。결과：복강경검사발현：자궁장막하기류47례，분강점련10례，수란관도새18례，란소낭종17례，자궁천공화종괴14례。술중경도동통46례，중도동통49례，11례유미주신경자격증상。수술평균시간24.5 min，평균출혈량31.5 mL。술후수방6개월，성공수방104례，실련2례，절대다수환자적림상증상득도현저개선。결론：궁강경하수술치료궁강내병변림상료효고，회복속도쾌，치득림상추엄응용。
Objective:To observe and investigate the clinical application value of surgical treatment under hysteroscopy in the treatment of intrauterine lesions.Method:106 patients who were treated in our hospital for uterine cavity lesions from June 2013 to June 2014 were selected as the research objects.They were given corresponding surgical treatment under hysteroscopy.The situation during the surgical and the situation of follow up were observed.Result:The laparoscopy found that there were 47 cases with subserosal uterine fibroids,10 cases with pelvic adhesions,18 cases with tubal blockage,17 cases with ovarian cysts and 14 cases with uterine perforation and mass.There were 46 cases with mild pain,49 cases with moderate pain and 11 cases with vagus nerve stimulation symptoms.The average operation time was 24.5 minutes and the average bleeding volume was 31.5 mL.The patients were followed up for 6 months,104 cases were followed up successfully and 2 cases lost contract.Most patients’ clinical symptoms were significantly improved. Conclusion:Surgical treatment under hysteroscopy in the treatment of intrauterine lesions has a high clinical effect and the recovery speed is fast,it is worthy of clinical application.