论文部分内容阅读
目的:观察宫腔镜双极电切除治疗子宫黏膜下肌瘤的临床疗效和安全性。方法:选择子宫黏膜下肌瘤患者76例,随机分为对照组和观察组各38例。对照组患者给予传统电切术治疗,观察组患者给予宫腔镜双极电切除术治疗,比较两组患者手术时间、住院时间、术中出血量、总有效率和术后并发症的差异。结果:两组患者手术时间比较,差异无统计学意义(P>0.05);观察组患者住院时间明显短于对照组(P<0.05);术中出血量明显少于对照组(P<0.05);观察组患者总有效率明显高于对照组(P<0.05);术后并发症发生率明显低于对照组(P<0.05)。结论:采用宫腔镜双极电切除治疗子宫黏膜下肌瘤具有疗效确切、手术创伤小、安全性高等优点,值得临床推广应用。
Objective: To observe the clinical efficacy and safety of hysteroscopic bipolar resection of submucosal fibroids. Methods: 76 cases of uterine submucosal fibroids were randomly divided into control group and observation group, 38 cases each. Patients in the control group were treated with conventional electrotomy, and patients in the observation group were given hysteroscopic bipolar resection. The operation time, hospitalization time, intraoperative blood loss, total effective rate and postoperative complications were compared between two groups. Results: There was no significant difference in operative time between the two groups (P> 0.05). The hospitalization time in the observation group was significantly shorter than that in the control group (P <0.05); the amount of bleeding during operation was significantly less than that of the control group (P <0.05) . The total effective rate in the observation group was significantly higher than that in the control group (P <0.05). The incidence of postoperative complications was significantly lower than that in the control group (P <0.05). Conclusion: The hysteroscopic bipolar resection of submucosal fibroids has the advantages of effective curative effect, small trauma and high safety. It is worthy of clinical application.