[1]尹洁,刘柳,洪祖军.宫腔镜电切术治疗子宫黏膜下肌瘤及子宫内膜息肉[J].中国微创外科杂志,2006,06(6):456-458.
　Yin Jie,Liu Liu,Hong Zujun..Treatm ent of submucous leiomyomas and endom etrial polyps by hysteroscopic resection[J].Chinese Journal of Minimally Invasive Surgery,2006,06(6):456-458.
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宫腔镜电切术治疗子宫黏膜下肌瘤及子宫内膜息肉()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
06
期数:
2006年6期
页码:
456-458
栏目:
出版日期:
2006-06-20

文章信息/Info

Title:
Treatm ent of submucous leiomyomas and endom etrial polyps by hysteroscopic resection
作者:
尹洁; 刘柳; 洪祖军
江苏省南通瑞慈医院妇产科,南通,226010
Author(s):
Yin Jie;  Liu Liu;  Hong Zujun.
Department of Obstetrics& Gynecology, Nantong RichHospital, Nantong 226010, China
关键词:
宫腔镜电切术; 子宫黏膜下肌瘤; 子宫内膜息肉
Keywords:
Hysteroscopy; 　Submucous leiomyoma; 　Endometrial polyp
分类号:
R737.33
文献标志码:
A
摘要:
目的探讨采用宫腔镜电切术治疗子宫黏膜下肌瘤及子宫内膜息肉的可行性、安全性及疗效. 方法 2002年1月～2004年7月,我院采用宫腔镜电切术治疗38例子宫黏膜下肌瘤和40例子宫内膜息肉,其中经宫颈子宫肌瘤切除术 (transcervical resection of myoma,TCRM)31例,TCRM联合经宫颈子宫内膜切除术(transcervical resection of the endometium,TCRE )7例,经宫颈子宫内膜息肉切除术(transcervical resection of polyp, TCRP)35例,TCRP联合TCRE 5例. 结果 78例均一次顺利完成手术.术中出血≥400 ml 2例,水中毒1例,无子宫穿孔及术后感染.术后1、3、6、12个月随访,术后12个月时进行手术效果评定,闭经8例 (10.3%),点滴月经12例 (15.4%),少量月经33例 (42.3%),正常月经量22例(28.2%),无改善3例(3.8%). 结论宫腔镜电切术治疗子宫黏膜下肌瘤及子宫内膜息肉安全性高,并发症少.
Abstract:
Objective　To study the feasibility, safety, and efficacy ofhysteroscopic treatmentof submucous leiomyomas and endometrial polyps.　M ethods　Hysteroscopic resections were performed in 38 cases of submucous leiomyomas and 40 cases of endometrial polyps from January2002 to July2004, including31 cases of transcervical resection ofmyoma (TCRM), 7 cases ofTCRM combined with transcervical resection of the endometrium (TCRE), 35 cases of transcervical resection ofpolyp (TCRP), and 5 cases ofTCRP combined with TCRE.　Results　The operation was completed smoothly on one session in all the 78 cases. The intraoperative blood losswas≥400 ml in 2 cases. There were 1 case of overhydration. No uterine perforation or infection occurred after operation. The patientswere followed at 1, 3, 6, and 12 months after operation, respectively, and the surgical outcomes were assessed at12 postoperative months. Follow-up findings revealed 8 cases of amenorrhea (10. 3% ), 12 cases of irregular spotting (15·4% ), 33 cases of hypomenorrhea (42. 3% ), 22 cases of normalmenstrual flow (28. 2% ), and 3 cases of no improvement (3·8% ).　Conclusions　Hysteroscopic resections for submucous leiomyomas and endometrial polyps offer advantages of good reliability and fewer complications, beingworthy of recommendation.

参考文献/References:

[1]冯力民,夏恩兰.宫腔镜手术治疗子宫肌瘤158例分析.中华妇产科杂志,1997,32(5):284-287.
[2]刘能辉,张怡.宫腔镜手术治疗子宫黏膜下肌瘤30例分析.中国内镜杂志,2002,8(7):73-74.
[3]夏恩兰.宫腔镜子宫肌瘤切除术.实用妇产科杂志,2005,21(7):387-389.
[4]施永鹏,冯缵冲,徐佩琳等.热球法子宫内膜剥离治疗月经过多.中华妇产科杂志,1999,34(1):49-49.
[5]孙华,张勇,郑健.宫腔镜治疗黏膜下子宫肌瘤72例.中国微创外科杂志,2005,5(3):198-199.
[6]吴诗琦,文庆华,万红等.应用宫腔镜实施黏膜下肌瘤及子宫内膜汽化术.中国内镜杂志,2001;7(3):79-80.

更新日期/Last Update: 2014-01-27