目的：探讨等离子电切术在宫腔疾病中的应用效果及安全性。方法将80例子宫内膜息肉与粘膜下肌瘤患者按照奇偶数字法随机均分为2组（n=40），分别行常规宫腔镜下切除术与等离子电切除术治疗。比较2组手术前后电解质及血糖变化情况、手术时间、术中出血量、膨宫液用量、阴道流血、排液天数、术后并发症发生情况。结果等离子电切除术组术后Na+、K+、Cl-及Glu水平分别为（138.02±10.75）、（105.58±7.29）、（3.74±0.59）、（5.37±1.00）mmol/L，显著高于宫体镜下切除术组（P＜0.05）；手术时间（23.95±5.81）min、术中出血量(19.95±3.87)mL、膨宫液用量(4092.38±122.17)mL、阴道流血及排液时间(19.93±4.59)d显著低于宫腔镜下切除术组（P＜0.05）。2组术后并发症比较差异无统计学意义。结论等离子电切除术治疗宫腔疾病手术创伤小，电解质及血糖稳定，术后并发症低，有利于患者术后恢复。%Objective To study efficacy and safety of the plasma transurethral resection in application of uterine diseases. Methods 80 cases patients with endometrial polyps and submucosal fibroids in the department of gynecological yangjiang yangdong hospital were randomly divided into two groups(n=40), who were performed with conventional plasma hysteroscopic resection electrical excision. Changes of electrolytes and glucose before and after surgery, operative time, blood loss, uterine distention fluid volume, vaginal bleeding, draining a few days, the incidence of postoperative complications were compared. Results Plasma resection group postoperative Na+, K+, Cl-and Glu levels(138.02±10.75, 105.58±7.29, 3.74±0.59, 5.37±1.00)mmol/L were significantly higher than hysteroscopic resection group;operation time(23.95±5.81)min, intraoperative blood loss (19.95±3.87)mL, liquid dosage (4092.38±122.17)mL, vaginal bleeding and drainage time (19.93±4.59)d were significantly lower than hysteroscopic resection group(P<0.05);there were no statistical significance of postoperative complications between two groups. Conclusion Plasma resection surgery trauma is small, electrolyte and blood sugar stable, postoperative complications is low, help patients with postoperative recovery.
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