目的 探讨对巨大子宫黏膜下肌瘤行子宫动脉栓塞联合宫腔镜治疗的临床效果.方法 随机选取本院2013年8月至2014年3月期间收治的巨大子宫黏膜下肌瘤患者64例,按照治疗方案的不同将其分为观察组和对照组.其中对照组患者行宫腔镜电切术,观察组患者则采用子宫动脉栓塞联合宫腔镜进行治疗,对两组患者的临床治疗效果及其并发症的发生情况进行观察对比.结果 观察组患者的手术治疗总有效率为96.88％,明显高于对照组患者(40.63％);观察组患者术后并发症的发生率为12.50％,明显低于对照组患者(40.63％);差异具有统计学意义(P＜0.05).结论 采用子宫动脉栓塞联合宫腔镜治疗巨大子宫黏膜下肌瘤,效果显著,有助于彻底清除肌瘤组织,促进患者术后恢复,建议在临床上进一步推广.%Objective To investigate the clinical effect of uterine artery embolization combined with hysteroscopy in the treatment of gigantic submucosal fibroids of uterus.Methods 64 patients with gigantic submucosal fibroids of uterus admitted in our hospital from August 2013 to March 2014 were randomly selected and were divided into an observation group and a control group according to different treatment regimens.The control group was treated with hysteroscopic surgery and the observation group with uterine artery embolization and hysteroscopy.The clinical therapeutic effect and the incidence of relevant complication in both groups were observed and compared.Results The total effective rate of the surgical treatment of the observation group was 96.88％, which was significantly higher than that of the control group (40.63％);the incidence of postoperative complications of the observation group was 12.50％, which was significantly lower than that of the control group (40.63％);the differences were statistically significant (P＜0.05).Conclusions Uterine artery embolization combined with hysteroscopy in the treatment of gigantic submucosal fibroids of uterus is significantly effective and is helpful to remove the uterine myoma tissue completely and can promote the patients' recovery of after surgery, so it should be clinically generalized.
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