目的:应用宫腔镜手术治疗各种类型的黏膜下子宫肌瘤,并评价该手术的疗效及其安全性.方法:2008年2月至2010年5月21例黏膜下子宫肌瘤采用宫腔镜技术治疗,11例0型(A组),7例I 型(B组),3例Ⅱ型(B组).观察治疗结果并对比两组治疗差异.结果:所有患者平均手术时间为44.5±11.45min,术中血量为59.3±14.64mL,住院时间为4.7±1.34d,术后满意率为90.4%.A组和B组手术时间、术中失血量组间对比差异有统计学意义(P﹤0.05),住院时间组间比较差异无意义(P﹥0.05).结论:宫腔镜电切术治疗子宫黏膜下肌瘤效果好,恢复快,是治疗子宫黏膜下肌瘤的最佳选择,尤其适用与0型黏膜下子宫肌瘤.%Objective: To observe the clinical efficacy and safety of submucous uterine myoma electrore -section under hysteroscope. Method: 21 patients with submucous uterine myoma who were treated in the hospital from February 2008 to May 2010 were selected. There were 11 patients with type 0 in group A, 7 with type I and 3 type II in group B, all patients were treated with submueous uterine myoma electroresection under hysteroscope. To observe therapeutic situations in the two groups. Result: The average operation time of all patients were 44. 5±11. 45min,and intraoperatve blood loss was 59. 3±14. 64mL, and hospital stays was 4. 7±1. 34 days, and the satisfaction rate was 90.4% . It showed significant difference between group A and B in operation time and intraoperatve blood loss, but no significant difference in hospital stays. Conclusion : The therapeutic effect of submucous uterine myoma electroresection under hysteroscope is definite, and the safety is good, the method is suitable for the patients with type 0 submucous uterine myoma especially.
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