[1]李站清　 夏恩兰①　 张玉华　 刘爱萍　 贾兰云　 崔晓宁.宫腔镜电切术与开腹子宫切除术治疗子宫内良性病变的疗效比较[J].中国微创外科杂志,2004,04(6):498-499.
　Li Zhanqing,Xia Enlan,Zhang Yuhua,et al.A comparison between hysteroscopic electroresection and open hysterectomy for intrauterine benign diseases[J].Chinese Journal of Minimally Invasive Surgery,2004,04(6):498-499.
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宫腔镜电切术与开腹子宫切除术治疗子宫内良性病变的疗效比较
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
04
期数:
2004年6期
页码:
498-499
栏目:
出版日期:
2004-06-30

文章信息/Info

Title:
A comparison between hysteroscopic electroresection and open hysterectomy for intrauterine benign diseases
作者:
李站清　 夏恩兰①　 张玉华　 刘爱萍　 贾兰云　 崔晓宁
北京市昌平区医院妇产科,北京,102200
Author(s):
Li Zhanqing;  Xia Enlan;  Zhang Yuhua;  et al.
Department ofObstetrics&Gynecology, Beijing Changping DistrictHospital, Beijing102200, China
关键词:
宫腔镜;  电切术;  子宫粘膜下肌瘤;  子宫内病变
Keywords:
Hysteroscopy; 　Electroresection; 　Submucous uterine myoma; 　Intrauterine disease
分类号:
R737.33
文献标志码:
A
摘要:
目的比较宫腔镜电切术与开腹子宫切除术治疗子宫内良性病变的临床效果. 方法宫腔镜电切术治疗子宫内良性病变58例为宫腔镜组,开腹全子宫切除术 60例为对照组,对两组手术时间、住院时间、术后恢复工作时间和治愈率进行比较. 结果对照组手术时间为(68.4±20.6) min,宫腔镜组为(55.2±19.7)min(t=-3.555,P=0.000); 术后住院时间分别为(7.2±1.8)d,(4.5±1.5)d (t=-8.836,P=0.000); 对照组术后恢复工作时间为(64.4±25.3) d,宫腔镜组为(37.2±7.8) d(t=-7.835,P=0.000);对照组治愈率为100%(60/60),宫腔镜组为94.7% (54/57)(χ2=1.477,P=0.224). 结论宫腔镜电切术近期效果好,术后恢复快,在部分病例可替代子宫切除治疗子宫内良性病变.
Abstract:
Objective　To compare the clinical effects between hysteroscopic electroresection and open hysterectomy in the treatment of intrauterine benign diseases.　Methods　A total of 58 women with intrauterine benign received hysteroscopic electroresection (hysteroscopic group) and 60 women underwent open total hysterectomy (control group). The operating time, hospital stay, postoperative recovery and cure rates were compared between the two groups, respectively.　Results　The operating time was 68·4±20·6 min in control group and 55·2±19·7 min in hysteroscopic group (t=-3·555, P=0·000). The postoperative hospital staywas 7·2±1·8 d and 4·5±1·5 d in control and hysteroscopic group, respectively (t=-8·836, P=0·000). The time to resume regularworkwas 64·4±25·3 d in control group and 37·2±7·8 d in hysteroscopic group (t=-7·835, P=0·000). The cure rates in control and hysteroscopic group were 100% (60/60) and 94·7% (54/57), respectively (χ2=1·477,P=0·224).　ConclusionsHysteroscopic electroresection gives good short- term therapeutic effects and quick postoperative recovery. It may replace hysterectomy in part of patients with intrauterine benign diseases.

参考文献/References:

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备注/Memo

备注/Memo:
①（首都医科大学附属复兴医院腔镜中心,北京,100038）
更新日期/Last Update: 2014-06-09