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目的:通过临床观察及手术前后分析,探讨利用宫腔镜电切技术(TCRM)对子宫黏膜下肌瘤治疗的疗效及相关影响因素。方法:对于2009年6月至2012年12月我院接受治疗的348例宫黏膜下肌瘤患者进行回顾性分析,采用宫腔镜电切术治疗的214例为电切组,接受常规开腹治疗的124例为对照组,对于两组临床疗效进行比较分析。结果:在临床疗效上,两组患者无统计学意义差异(P>0.05)。而比较在术中出血量、手术时间、术后排气时间、下床活动时间、术后住院时间上,前者均优于对照组,对比差异有显著性(P<0.05)。结论:以TCRM技术治疗子宫黏膜下肌瘤,损伤小,恢复快,患者更易接受,疗效好,临床上值得推广。
Objective: To investigate the curative effect and related factors on the treatment of uterine submucosal fibroids by clinical observation and preoperative and postoperative analysis of hysteroscopic electrosurgical excision (TCRM). Methods: A retrospective analysis was performed on 348 cases of submucosal fibroids treated in our hospital from June 2009 to December 2012. 214 cases underwent hysteroscopic resection were treated by conventional resection 124 cases of treatment for the control group, for comparative analysis of the clinical efficacy of the two groups. Results: In clinical efficacy, there was no significant difference between the two groups (P> 0.05). The former was better than the control group in the amount of blood loss, operation time, postoperative exhaust time, ambulation time, postoperative hospital stay, the difference was significant (P <0.05). Conclusion: The treatment of uterine submucosal fibroids by TCRM technique has the advantages of less damage, faster recovery, more acceptable in patients, good curative effect and worthy of clinical promotion.