CAJ | 학술논문

目的：探讨宫腔镜手术治疗不同类型黏膜下子宫肌瘤的疗效及其安全性。方法选取我院2012年11月-2013年11月收治的94例粘膜下子宫肌瘤患者随机分为对照组和治疗组，每组各47例。对照组采用传统手术治疗，治疗组采用宫腔镜手术治疗。比较两组患者的基本情况和手术效果。结果治疗组手术时间、术中出血及住院时间显著优于对照组；治疗组的有效率为97.87%，明显优于对照组的87.23%，两组比较差异具有统计性（P<0.05）。结论宫腔镜治疗粘膜下子宫肌瘤具有安全有效创伤少、恢复快并发症少等优点，值得临床推广应用。
목적：탐토궁강경수술치료불동류형점막하자궁기류적료효급기안전성。방법선취아원2012년11월-2013년11월수치적94례점막하자궁기류환자수궤분위대조조화치료조，매조각47례。대조조채용전통수술치료，치료조채용궁강경수술치료。비교량조환자적기본정황화수술효과。결과치료조수술시간、술중출혈급주원시간현저우우대조조；치료조적유효솔위97.87%，명현우우대조조적87.23%，량조비교차이구유통계성（P<0.05）。결론궁강경치료점막하자궁기류구유안전유효창상소、회복쾌병발증소등우점，치득림상추엄응용。
Objective: Study hysteroscopy surgery treatment efficacy and safety of different types of submucosal uterine fibroids. Methods: Selected from November 2012 -November 2013 patients of 94 cases of submucosal uterine fibroids were randomly divided into control group and treatment group, each group (n = 47). The control group with traditional surgery treatment, treatment group with hysteroscopy surgery. Two groups were compared and the basic situation of the operation effect. Results: Treatment group operation time, intraoperative bleeding and hospitalization time significantly better than control group; The effective rate was 97.87%, the treatment group was obviously better than control group 87.23%, comparing the two groups have statistical difference (P < 0.05). Conclusion: Hysteroscopic treatment of the submucosal uterine fibroids is safe and effective advantages of less injury and pain, rapid recovery, fewer complications, worthy of clinical popularization and application.