摘要：目的 探讨应用宫腔镜治疗黏膜下子宫肌瘤的临床效果体会。方法 回顾性分析我院妇科205年3月-208年5月期间收治的06例黏膜下子宫肌瘤患者，随机分为两组，各53例，对照组采用开腹手术治疗，观察组采用宫腔镜治疗，对比两组手术近远期疗效。结果 观察组围手术期临床指标均明显优于对照组（P<0.05）；观察组未见宫腔粘连及子宫穿孔，并发症发生率（3.77%）明显低于对照组（8.87%）（P<0.05）；观察组术后随访无复发，复发率明显低于对照组（P<0.05）。结论 应用宫腔镜治疗黏膜下子宫肌瘤近远期效果理想，是一种理想的治疗方法，值得推广应用。
　　
　　关键词：宫腔镜；黏膜下子宫肌瘤；临床效果。
　　
　　ABSTRACT：Objective To explore the clinical effect of hysteroscopy in the treatment of submucous hystero-myoma. Methods 06 patients with submucosal hysteromyoma admitted to our gynecological department from March205 to May 208 were retrospectively analyzed. They were randomly divided into two groups, with 53 cases in eachgroup. The control group was treated with open surgery, while the observation group was treated with hysteroscopy.The short-term and long-term effects of the two groups were compared. Results The perioperative clinical indicators ofthe observation group were significantly better than those of the control group (P<0.05); No intrauterine adhesion anduterine perforation were observed in the observation group, and the incidence of complications (3.77%) was significantlylower than that of the control group (8.87%) (P<0.05); There was no recurrence in the follow-up of the observationgroup, and the recurrence rate was significantly lower than that of the control group (P<0.05). Conclusion Hysteros-copy is an ideal method for the treatment of submucosal hysteromyoma, and it is worth popularizing.
　　
　　KEY WORDS： Hysteroscopy; Submucosal hysteromyoma; Clinical effect。
　　
　　子宫肌瘤是女性常见生殖道肿瘤，临床表现以子宫出血、疼痛、腹部包块等为主，黏膜下子宫肌瘤极易发生感染及不规则出血，对患者卵巢功能有严重不良影响，是引起女性不孕的重要原因之一。临床治疗黏膜下子宫肌瘤以手术切除为主，在多种治疗方式中，宫腔镜手术创伤小、出血量少、恢复快，能够保留子宫及生育能力，几乎不影响卵巢功能，是一种安全可靠的治疗方法。本研究回顾性分析我院收治的53例应用宫腔镜治疗的黏膜下子宫肌瘤患者，将临床治疗体会总结如下。


 

TAG标签： 宫腔镜     临床效果