Objective To investigate the effect of two methods of hystemscopic resection for type Ⅱ submucous myoma on reproductive prognosis.Methods In Department of Gynecology of Weihai Wonen and Children Health Hospital from January 2001 to January 2016,63 patients who has reproductive requirements received hysteroscopic resection and they were divided into experimental group and control group.Experimental group cases were first Kaichuang and then resected,while control group cases were resected directly.Evaluate the feasibility of hysteroscopic resection and the influence on endometriun,uterus fibroid and pregnancy.Results Totally 61 myomas were resected successfully at one timne of procedure.One-time resection rate was 96.8％.No severe complications occurred.The difference of average operation time,intraoperative blood loss,postoperative recurrence rate,the volume of liquid,the muscle tumor cavity completely healing rate between experimental group and control group had no statistical significance (P＞0.05).The endometrial woud healing,postoperative intrauterine adhesion (IUA) rate and the pregnacy rate between experimental group and control group had significant statistical difference(P＜0.05).Conclusion Hysteroscopic resection for type Ⅱ submucous myoma using the first-Kaichuang-then-resection method is obviously better than the direct resection method in the reproductive prognosis.%目的 探讨宫腔镜电切术治疗Ⅱ型子宫黏膜下肌瘤两种切除方法对生殖预后的影响.方法 选择威海市妇幼保健院妇科2001年1月至2016年1月63例有生育要求的Ⅱ型子宫黏膜下肌瘤的患者,分为研究组(35例)、对照组(28例),研究组采用开窗后切除法,对照组采用直接切除法.观察宫腔镜下Ⅱ型子宫黏膜下肌瘤两种切除方法对子宫内膜、子宫肌层及妊娠的影响.结果 63例中61例一次手术切除肌瘤,一次手术成功率96.8％,均未发生严重并发症.研究组与对照组在手术时间、术中出血、术后复发、膨宫液用量、术后子宫肌层恢复等方面差异均无统计学意义(P＞0.05).研究组与对照组在子宫内膜恢复、宫腔粘连发生、术后妊娠分娩率方面差异均有统计学意义(P＜0.05).结论 宫腔镜电切术治疗Ⅱ型子宫黏膜下肌瘤采用开窗后切除法的患者其生殖预后明显优于直接切除法.
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