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目的探讨宫腔镜手术治疗不同类型黏膜下子宫肌瘤的临床疗效及安全性。方法选取我院于2011年3月至2013年2月间收治的18例黏膜下子宫肌瘤患者,对18例患者进行宫腔镜微创手术。结果 18例患者顺利完成手术,切除0型子宫肌瘤18个,Ⅰ型子宫肌瘤4个,II型子宫肌瘤1个,共计23个。平均手术时间在(28.4±13.4)min,平均出血量在(67.3±22.7)ml,术后无严重并发症,2例术后2 h内阴道出血,用药物治疗后停止;3例发热,2 d后好转。结论采用宫腔镜微创手术治疗黏膜下子宫肌瘤具有出血量少、安全性高、术后恢复快等优点,具有很高的临床应用价值。
Objective To investigate the clinical efficacy and safety of hysteroscopic surgery for different types of submucosal uterine fibroids. Methods 18 patients with submucosal fibroids treated in our hospital from March 2011 to February 2013 were selected and 18 patients underwent hysteroscopic minimally invasive surgery. Results 18 patients completed the operation successfully, 18 cases of type 0 uterine fibroids, 4 type Ⅰ uterine fibroids, 1 type II uterine fibroids, a total of 23 cases. The average operation time was (28.4 ± 13.4) min, mean bleeding volume was (67.3 ± 22.7) ml, no serious complication after operation, 2 cases of intravaginal hemorrhage within 2 hours after operation, stopped after treatment with drugs, 3 cases of fever, 2 d after the improvement. Conclusion Hysteroscopic minimally invasive surgery for the treatment of submucosal uterine fibroids with less bleeding, high safety, quick recovery, etc., has a high clinical value.