[1]梅松原* 魏金花 石岩 白殷 韩秋丽.日间宫腔镜子宫内膜息肉切除术42例临床体会[J].中国微创外科杂志,2015,15(7):616-618.
　Mei Songyuan,Wei Jinhua,Shi Yan,et al.Clinical Review of 42 Cases of Ambulatory Hysteroscopic Endometrial Polyp Electrocision[J].Chinese Journal of Minimally Invasive Surgery,2015,15(7):616-618.
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日间宫腔镜子宫内膜息肉切除术42例临床体会()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
15
期数:
2015年7期
页码:
616-618
栏目:
临床研究
出版日期:
2015-07-20

文章信息/Info

Title:
Clinical Review of 42 Cases of Ambulatory Hysteroscopic Endometrial Polyp Electrocision
作者:
梅松原* 魏金花 石岩 白殷 韩秋丽
（哈尔滨二四二医院妇科，哈尔滨150066）
Author(s):
Mei Songyuan;  Wei Jinhua;  Shi Yan;  et al.
Department of Gynaecology, Harbin No. 242 Hospital, Harbin 150066, China
关键词:
日间手术; 宫腔镜; 内膜息肉切除术
Keywords:
Ambulatory surgery; Hysteroscopy; Endometrial polyp electrocision
分类号:
R730.269
文献标志码:
A
摘要:
目的探讨日间手术模式应用于宫腔镜子宫内膜息肉切除术的可行性与安全性。方法我院2012年7月~2013年6月42例宫腔镜下子宫内膜息肉切除术采用日间手术模式中的过夜模式，即入院当日手术，当晚留院观察，次日出院，观察住院费用，术后疼痛、阴道流血等手术效果。结果42例宫腔镜子宫内膜息肉切除术顺利完成。2例因腹痛腹胀明显伴有阴道流血多而延长住院时间；1例术后恶心较重而延长住院时间。除3例延迟出院外，39例均在住院24 h内手术并安全离院，住院费用（3685±338）元。1例术后第5天病理回报中重度不典型增生，再次住院行全子宫切除手术治疗。39例24 h内出院中，除2例失访和1例不典型增生，余36例对日间宫腔镜手术模式疗效满意。结论日间手术模式应用于宫腔镜子宫内膜息肉切除术可行、安全。
Abstract:
ObjectiveTo explore the safety and feasibility of ambulatory surgery of hysteroscopic endometrial polyp electrocision．MethodsThere were 42 cases of ambulatory surgery of hysteroscopic endometrial electrocision from July 2012 to June 2013 in this hospital. The patients were given operation in the admission day, hospitalized for one night, and discharged from hospital in the next morning. Surgical outcomes such as hospitalization expenses, postoperational pains and vaginal bleeding were observed.ResultsThe operation was successfully completed under hysteroscope in all the 42 cases. Two patients experienced longer length of hospital stay due to severe abdominal pain and distension and large amount of vaginal bleeding; one patient had a prolonged hospital stay because of postoperative nausea. The remaining 39 patients underwent operation and left hospital within 24 hours. The total costs of treatment were （3685±338） RMB. Pathological examination showed atypical endometrial hyperplasia in 1 case, which was given a reoperation of hysterectomy. Except for 2 patients who were lost of followup and 1 case of atypical endometrial hyperplasia, the other 36 patients got good therapeutic effects and high degree of satisfaction.ConclusionAmbulatory surgery is safe and feasible when used in hysteroscopic endometrial polyp electrocision.

参考文献/References:

[1]Roberts L．Day surgery-national and international．From the past to the future. Am Surg，2006，12(3)：143-145．
[2]安燚,王振军.日间手术的概念和基本问题.中国实用外科杂志，2007,27（1）:38-40.
[3]夏恩兰，主编.宫腔镜学及图谱.郑州：河南科学技术出版社，2003.114.
[4]陆志聪. 日间手术在香港的发展.中国医院管理，1997, 17(7)：31.
[5]Brebbia G,Carcano G,Boni L,et al. Audit in day surgery in general surgery. Quality and criticality are compared. Int J Surg,2008，6(1):59-64．
[6]范海涛,王伟华.泌尿外科日间手术3050例报告.医学临床研究，2008,25（12）:2149-2151.
[7]原玮,高丽萍.宫腔镜电切术日间手术模式的探讨.临床和实验医学杂志,2012,11(14):1150-1151.
[8]Song D, Joshi GP, White PF. Fasttrack eligibility after ambulatory anesthesia: a comparison of desflurane, sevoflurane, and propofol. Anesth Analg,1998,86(2):267-273.
[9]夏恩兰.宫腔镜手术并发症的预防：临床实践指南（法国）.国际妇产科学杂志，2014，41(5)：575-577.
[10]李政,陈亚红,那多明,等.不孕症腹腔镜手术日间模式的探讨.实用医学杂志,2010,39(18):3362-3364.

备注/Memo

备注/Memo:
*通讯作者，Email：MSY242@163.com
更新日期/Last Update: 2016-01-04