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目的探讨宫腔镜电切术在治疗子宫黏膜下肌瘤的效果。方法选取吉林大学中日联谊医院妇产科2015年1月-2016年10月收治的120例子宫黏膜下肌瘤患者作为研究对象,将所有对象分为观察组85例(包括宫腔镜治疗组50例、腹腔镜治疗组35例)和对照组(开腹治疗)35例。结果对两组患者的手术治疗效果进行对比,观察组治疗总有效率为95.3%,对照组治疗总有效率为77.1%,观察组的治疗效果明显高于对照组(P<0.05);对比观察组两组患者的手术情况,宫腔镜组各项指标明显优于腹腔镜组(P<0.05)。结论应用宫腔镜电切术治疗子宫黏膜下肌瘤,手术创伤小,手术时间短,操作安全,出血量少,疗效显著。
Objective To investigate the effect of hysteroscopic electrotomy for the treatment of uterine submucosal fibroids. Methods A total of 120 patients with uterine submucous myoma treated by Department of Obstetrics and Gynecology, Sino-Japanese Friendship Hospital, Jilin University from January 2015 to October 2016 were enrolled in this study. All subjects were divided into observation group (85 cases), including hysteroscopic treatment group 50 cases, laparoscopic treatment group 35 cases) and control group (laparotomy) 35 cases. Results The operative effect of the two groups of patients was compared. The total effective rate was 95.3% in the observation group and 77.1% in the control group. The treatment effect in the observation group was significantly higher than that in the control group (P <0.05) The operation of the two groups of patients, hysteroscopy group of indicators were significantly better than the laparoscopic group (P <0.05). Conclusion Hysteroscopic resection of uterine fibroids, surgical trauma, short operative time, safe operation, less bleeding, the effect was significant.