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目的探讨宫腔镜下行子宫肌瘤剔除术的临床价值。方法选取子宫肌瘤患者120例,随机分为对照组(58例)和观察组(62例),对照组患者行常规开腹手术,观察组患者行宫腔镜手术,比较两组患者手术情况和手术效果。结果观察组患者手术时间、术中出血量、术后排气时间、下床活动时间、术后住院时间均明显短于对照组,差异有统计学意义(P<0.05)。两组患者治疗显效率和有效率差异无统计学意义(P>0.05)。结论宫腔镜下进行子宫肌瘤剔除术安全而有效,但是在进行手术时要严格掌握适应证,并由经验丰富的医生在B超引导下进行操作,术中轻柔操作,尽量避免子宫穿孔等并发症的发生。
Objective To investigate the clinical value of hysteroscopic myomectomy. Methods 120 patients with uterine fibroids were randomly divided into control group (58 cases) and observation group (62 cases). Patients in control group underwent routine laparotomy. The patients in observation group underwent hysteroscopic surgery. The operation conditions and Surgical effect. Results The operation time, intraoperative blood loss, postoperative exhaust time, ambulation time and postoperative hospital stay in the observation group were significantly shorter than those in the control group (P <0.05). The two groups of patients showed no significant difference in the effective rate and effective rate (P> 0.05). Conclusion hysteroscopic myomectomy resection is safe and effective, but surgery should be strictly controlled indications, and experienced doctors under the guidance of B-ultrasound operation, intraoperative gentle operation, try to avoid uterine perforation Complications occur.