中外医学研究
中外醫學研究
중외의학연구
Chinese and Foreign Medical Research
2015年
30期
14-16
,共3页
宫腔镜%子宫内占位性病变%疗效
宮腔鏡%子宮內佔位性病變%療效
궁강경%자궁내점위성병변%료효
Hysteroscopy%Intrauterine lesions%Efficacy
目的:探讨宫腔镜电切治疗子宫内占位性病变的临床效果.方法:回顾性分析43例子宫内占位性病变患者的临床资料,其中38例为子宫内膜息肉,5例为子宫黏膜下肌瘤,均在椎管内麻醉下行宫腔镜电切治疗术.观察手术时间、术中出血量和手术并发症,比较治疗前后Na+、K+、Cl-、Ca2+浓度变化.结果:43例患者宫腔镜电切治疗过程顺利,手术均成功,无子宫穿孔、大出血、TCRP综合征、感染与腹痛等并发症,手术时间为13~42 min,平均(25.67±10.74)min,术中出血量为21~53 ml,平均(39.58±7.83)ml.与治疗前比较,治疗后Na+、Cl-浓度明显降低(P<0.05),K+、Ca2+浓度有所降低,但与治疗前比较差异无统计学意义(P>0.05).结论:宫腔镜电切治疗子宫内占位性病变疗效好,具有手术时间短、术中出血量少、术后并发症少等优点,但应防治稀释性低钠血症、低氯血症.
目的:探討宮腔鏡電切治療子宮內佔位性病變的臨床效果.方法:迴顧性分析43例子宮內佔位性病變患者的臨床資料,其中38例為子宮內膜息肉,5例為子宮黏膜下肌瘤,均在椎管內痳醉下行宮腔鏡電切治療術.觀察手術時間、術中齣血量和手術併髮癥,比較治療前後Na+、K+、Cl-、Ca2+濃度變化.結果:43例患者宮腔鏡電切治療過程順利,手術均成功,無子宮穿孔、大齣血、TCRP綜閤徵、感染與腹痛等併髮癥,手術時間為13~42 min,平均(25.67±10.74)min,術中齣血量為21~53 ml,平均(39.58±7.83)ml.與治療前比較,治療後Na+、Cl-濃度明顯降低(P<0.05),K+、Ca2+濃度有所降低,但與治療前比較差異無統計學意義(P>0.05).結論:宮腔鏡電切治療子宮內佔位性病變療效好,具有手術時間短、術中齣血量少、術後併髮癥少等優點,但應防治稀釋性低鈉血癥、低氯血癥.
목적:탐토궁강경전절치료자궁내점위성병변적림상효과.방법:회고성분석43례자궁내점위성병변환자적림상자료,기중38례위자궁내막식육,5례위자궁점막하기류,균재추관내마취하행궁강경전절치료술.관찰수술시간、술중출혈량화수술병발증,비교치료전후Na+、K+、Cl-、Ca2+농도변화.결과:43례환자궁강경전절치료과정순리,수술균성공,무자궁천공、대출혈、TCRP종합정、감염여복통등병발증,수술시간위13~42 min,평균(25.67±10.74)min,술중출혈량위21~53 ml,평균(39.58±7.83)ml.여치료전비교,치료후Na+、Cl-농도명현강저(P<0.05),K+、Ca2+농도유소강저,단여치료전비교차이무통계학의의(P>0.05).결론:궁강경전절치료자궁내점위성병변료효호,구유수술시간단、술중출혈량소、술후병발증소등우점,단응방치희석성저납혈증、저록혈증.
Objective:To investigate the clinical efficacy of hysteroscopic treatment for intrauterine lesions.Method:A retrospective analysis of clinical datas of 43 patients with intrauterine lesions was done,38 cases were endometrial polyps,5 cases were endometrial fibroids.43 cases of intrauterine lesions were given hysteroscopic treatment with spinal anesthesia.The operation time,blood loss and surgical complications were observed, and the concentration of Na+,K+,Cl-,Ca2+ were recorded before and after treatment.Result:43 cases of hysteroscopic resection were successful without complications(uterine perforation,bleeding,TCRP syndrome,infection,stomach pain),operative time was 13-42 min,average was (25.67±10.74)min, intraoperative blood loss was 21-53 ml,average was (39.58±7.83)ml.After the treatment,compared with the before treatment,the concentration of Na+, Cl- were significantly lower(P<0.05),there were not statistically significant difference in the concentration of K+,Ca2+(P>0.05).Conclusion:Hysteroscopic treatment for intrauterine lesions was effective with a shorter operative time,less blood loss,fewer complications,etc,but it should be prevention of hyponatremia and hypochloremia.
