国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
International Medicine and Health Guidance News
2015年
21期
3140-3142
,共3页
巨大子宫黏膜下肌瘤%宫腔镜电切术%子宫动脉栓塞
巨大子宮黏膜下肌瘤%宮腔鏡電切術%子宮動脈栓塞
거대자궁점막하기류%궁강경전절술%자궁동맥전새
Gigantic submucosal uterine fibroids%Hysteroscopy%Uterine arterial embolization
目的 探讨对巨大子宫黏膜下肌瘤行子宫动脉栓塞联合宫腔镜治疗的临床效果.方法 随机选取本院2013年8月至2014年3月期间收治的巨大子宫黏膜下肌瘤患者64例,按照治疗方案的不同将其分为观察组和对照组.其中对照组患者行宫腔镜电切术,观察组患者则采用子宫动脉栓塞联合宫腔镜进行治疗,对两组患者的临床治疗效果及其并发症的发生情况进行观察对比.结果 观察组患者的手术治疗总有效率为96.88％,明显高于对照组患者(40.63％);观察组患者术后并发症的发生率为12.50％,明显低于对照组患者(40.63％);差异具有统计学意义(P＜0.05).结论 采用子宫动脉栓塞联合宫腔镜治疗巨大子宫黏膜下肌瘤,效果显著,有助于彻底清除肌瘤组织,促进患者术后恢复,建议在临床上进一步推广.
目的 探討對巨大子宮黏膜下肌瘤行子宮動脈栓塞聯閤宮腔鏡治療的臨床效果.方法 隨機選取本院2013年8月至2014年3月期間收治的巨大子宮黏膜下肌瘤患者64例,按照治療方案的不同將其分為觀察組和對照組.其中對照組患者行宮腔鏡電切術,觀察組患者則採用子宮動脈栓塞聯閤宮腔鏡進行治療,對兩組患者的臨床治療效果及其併髮癥的髮生情況進行觀察對比.結果 觀察組患者的手術治療總有效率為96.88％,明顯高于對照組患者(40.63％);觀察組患者術後併髮癥的髮生率為12.50％,明顯低于對照組患者(40.63％);差異具有統計學意義(P＜0.05).結論 採用子宮動脈栓塞聯閤宮腔鏡治療巨大子宮黏膜下肌瘤,效果顯著,有助于徹底清除肌瘤組織,促進患者術後恢複,建議在臨床上進一步推廣.
목적 탐토대거대자궁점막하기류행자궁동맥전새연합궁강경치료적림상효과.방법 수궤선취본원2013년8월지2014년3월기간수치적거대자궁점막하기류환자64례,안조치료방안적불동장기분위관찰조화대조조.기중대조조환자행궁강경전절술,관찰조환자칙채용자궁동맥전새연합궁강경진행치료,대량조환자적림상치료효과급기병발증적발생정황진행관찰대비.결과 관찰조환자적수술치료총유효솔위96.88％,명현고우대조조환자(40.63％);관찰조환자술후병발증적발생솔위12.50％,명현저우대조조환자(40.63％);차이구유통계학의의(P＜0.05).결론 채용자궁동맥전새연합궁강경치료거대자궁점막하기류,효과현저,유조우철저청제기류조직,촉진환자술후회복,건의재림상상진일보추엄.
Objective To investigate the clinical effect of uterine artery embolization combined with hysteroscopy in the treatment of gigantic submucosal fibroids of uterus.Methods 64 patients with gigantic submucosal fibroids of uterus admitted in our hospital from August 2013 to March 2014 were randomly selected and were divided into an observation group and a control group according to different treatment regimens.The control group was treated with hysteroscopic surgery and the observation group with uterine artery embolization and hysteroscopy.The clinical therapeutic effect and the incidence of relevant complication in both groups were observed and compared.Results The total effective rate of the surgical treatment of the observation group was 96.88％, which was significantly higher than that of the control group (40.63％);the incidence of postoperative complications of the observation group was 12.50％, which was significantly lower than that of the control group (40.63％);the differences were statistically significant (P＜0.05).Conclusions Uterine artery embolization combined with hysteroscopy in the treatment of gigantic submucosal fibroids of uterus is significantly effective and is helpful to remove the uterine myoma tissue completely and can promote the patients' recovery of after surgery, so it should be clinically generalized.
