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目的:探讨B超监视下宫腔镜治疗不同类型子宫黏膜下肌瘤的手术方法及临床疗效。方法:回顾性分析B超监视下宫腔镜手术治疗不同类型子宫黏膜下肌瘤320例的手术时间、术中出血量、术中并发症、住院时间和随访患者的术后情况及其对手术的满意度。结果:320例手术均顺利完成,平均手术时间33min,平均术中出血量31.6ml,术中无1例出现并发症,平均住院时间3.2天。术后1、3、6个月共随访298例,随访率为93.12%;术后1个月时75.17%的患者感觉明显有效,满意度为88.93%;术后3个月时92.28%的患者明显有效,满意度为94.30%;术后6个月时99.33%的患者明显有效,满意度达98.67%。结论:宫腔镜手术是目前治疗子宫黏膜下肌瘤的首选方法,对于不同类型的黏膜下肌瘤应采用不同的宫腔镜手术切除方法。
Objective: To investigate the surgical methods and clinical effects of hysteroscopy under ultrasound monitoring of different types of uterine fibroids. Methods: The operative time, amount of intraoperative blood loss, intraoperative complications, length of hospital stay, and postoperative follow-up of 320 cases of hysteroscopic fibroids undergoing B-ultrasound surveillance were analyzed retrospectively. Satisfaction. Results: All the 320 cases were successfully completed. The average operation time was 33 minutes and the average blood loss was 31.6ml. There was no complication in one case and the average hospital stay was 3.2 days. A total of 298 cases were followed up at 1, 3, and 6 months after operation, the follow-up rate was 93.12%. At 1 month after operation, 75.17% of the patients felt significant and the satisfaction was 88.93%; 92.28% at 3 months Obviously effective, the satisfaction was 94.30%; 99.33% of the patients were effective at 6 months after operation, with a satisfaction of 98.67%. Conclusion: Hysteroscopic surgery is the preferred method for the treatment of uterine submucous myoma, and different hysteroscopic resections should be used for different types of submucous myomas.