中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
24期
142-144
,共3页
黏膜下子宫肌瘤%缩宫素%宫腔镜
黏膜下子宮肌瘤%縮宮素%宮腔鏡
점막하자궁기류%축궁소%궁강경
Submucosal Uterine Fibroids%Oxytocin%Hysteroscopy
目的：探讨缩宫素预处理对宫腔镜电切黏膜下子宫肌瘤临床效果的作用。方法随机选取该院于2012年2月-2014年2月期间收治的100例黏膜下子宫肌瘤患者随机分为研究组（52例）和对照组（48例），研究组术前3 d连续肌注缩宫素后行宫腔镜电切，对照组直接行宫腔镜电切，比较两组患者手术时间、术中出血量、液体吸收量等，并随访研究患者治疗疗效及妊娠情况。结果研究组患者手术时间短于对照组、术中出血量及液体吸收量少于对照组的，术后肛门排气时间（9.0±3.4）h短于对照组，住院时间短于对照组，差异有统计学意义（P<0.05）。术后随访6个月，两组患者月经量改变及不规则阴道流血无明显改善（P>0.05），研究组患者残留肌瘤复发率明显低于对照组（P<0.05）。结论缩宫素预处理后行宫腔镜电切处理黏膜下子宫肌瘤，减少手术时间，减少术中出血量及液体吸收量，降低残留肌瘤复发率，值得临床进一步研究推广。
目的：探討縮宮素預處理對宮腔鏡電切黏膜下子宮肌瘤臨床效果的作用。方法隨機選取該院于2012年2月-2014年2月期間收治的100例黏膜下子宮肌瘤患者隨機分為研究組（52例）和對照組（48例），研究組術前3 d連續肌註縮宮素後行宮腔鏡電切，對照組直接行宮腔鏡電切，比較兩組患者手術時間、術中齣血量、液體吸收量等，併隨訪研究患者治療療效及妊娠情況。結果研究組患者手術時間短于對照組、術中齣血量及液體吸收量少于對照組的，術後肛門排氣時間（9.0±3.4）h短于對照組，住院時間短于對照組，差異有統計學意義（P<0.05）。術後隨訪6箇月，兩組患者月經量改變及不規則陰道流血無明顯改善（P>0.05），研究組患者殘留肌瘤複髮率明顯低于對照組（P<0.05）。結論縮宮素預處理後行宮腔鏡電切處理黏膜下子宮肌瘤，減少手術時間，減少術中齣血量及液體吸收量，降低殘留肌瘤複髮率，值得臨床進一步研究推廣。
목적：탐토축궁소예처리대궁강경전절점막하자궁기류림상효과적작용。방법수궤선취해원우2012년2월-2014년2월기간수치적100례점막하자궁기류환자수궤분위연구조（52례）화대조조（48례），연구조술전3 d련속기주축궁소후행궁강경전절，대조조직접행궁강경전절，비교량조환자수술시간、술중출혈량、액체흡수량등，병수방연구환자치료료효급임신정황。결과연구조환자수술시간단우대조조、술중출혈량급액체흡수량소우대조조적，술후항문배기시간（9.0±3.4）h단우대조조，주원시간단우대조조，차이유통계학의의（P<0.05）。술후수방6개월，량조환자월경량개변급불규칙음도류혈무명현개선（P>0.05），연구조환자잔류기류복발솔명현저우대조조（P<0.05）。결론축궁소예처리후행궁강경전절처리점막하자궁기류，감소수술시간，감소술중출혈량급액체흡수량，강저잔류기류복발솔，치득림상진일보연구추엄。
Objective To study the oxytocin pretreatment of hysteroscopic submucosal uterine fibroids clinical effect. Methods 100 patients with submucosal uterine fibroids from 2012 Februay to 2014 February were randomly divided into research group (52 cas-es) and control group (48 cases),two groups at random number should be much fewer, the team before 3 days consecutive intramus-cular injection of oxytocin after hysteroscopic, control line of hysteroscopic directly, compare two groups of patients with operation time, intraoperative blood loss, such as liquid absorption, and follow-up study the curative effect and patients with pregnancy. Re-sults The patients with team operation time is shorter than the control group, intraoperative blood loss and liquid absorption is less than the control group, postoperative anal exhaust time (9.0±3.4),unit of measurement data is shorter than the control group, hospi-tal was shorter than the control group, the difference had statistical significance (P< 0.05). Postoperative follow-up of 6 months, two groups of patients with no obvious improve menstrual quantity change and irregular vaginal bleeding (P > 0.05), the team residual myoma recurrence in patients with significantly lower than the control group (P<0.05). Conclusion Oxytocin pretreatment by hysteroscopic treatment of the submucous uterine fibroids, reduce the operation time, less intraoperative blood loss, and liquid absorption, reduce the residual myoma recurrence rate, worthy of further clinical research.
