宫腔镜治疗子宫黏膜下肌瘤的临床观察

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目的观察宫腔镜治疗子宫黏膜下肌瘤的临床疗。方法 2010年03月至2012年03月间我院收治84例子宫黏膜下肌瘤患者,将所有患者随机分为观察组(采用宫腔镜治疗)和对照组(采用传统开腹手术治疗),每组各42例。比较两组患者的手术时间、术中出血量、体温恢复正常时间、肛门排气时间、住院时间及临床治疗满意度。结果观察组手术满意率明显高于对照组,差异有统计学意义(P<0.05)。观察组患者手术时间、术中出血量、术后肛门排气时间、体温恢复正常及住院时间均明显少于对照组,差异均有统计学意义(P<0.05)。结论宫腔镜治疗子宫黏膜下肌瘤具有快速,出血量少、术后恢复快、患者满意度高,还具有保留子宫和保留生育功能的优越性。 Objective To observe the clinical treatment of hysteroscopic uterine fibroids. Methods From March 2010 to March 2012, 84 cases of uterine submucosal fibroids were treated in our hospital. All patients were randomly divided into observation group (treated with hysteroscopy) and control group (treated with traditional laparotomy) Each group of 42 cases. The operation time, intraoperative blood loss, body temperature recovery time, anal exhaust time, hospital stay and clinical satisfaction were compared between the two groups. Results The satisfaction rate of operation in observation group was significantly higher than that in control group, the difference was statistically significant (P <0.05). The operation time, intraoperative blood loss, postoperative anal exhaust time, body temperature returned to normal and hospital stay in observation group were significantly less than those in control group (P <0.05). Conclusion Hysteroscopic treatment of uterine submucosal fibroids with rapid, less bleeding, rapid recovery after surgery, patients with high satisfaction, but also has retained the advantages of uterine and reproductive function.
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