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目的探讨宫腔镜下微电极配合取环钳治疗带蒂粘膜下子宫肌瘤的效果。方法回顾性分析2003年7月~2004年12月在我院门诊经宫腔镜检查确诊后,镜下微电极电凝后予取环钳摘除的带蒂粘膜下子宫肌瘤患者21例,分析其手术成功率、并发症和随访结果。结果21例中18例(85.71%)治疗成功,平均术时14m in,成功病例中,肌瘤直径均<2 cm,瘤蒂直径均<1 cm。术时无严重并发症发生,术后随访完全满意和满意率达100%。结论对肌瘤直径<2 cm、瘤蒂直径<1 cm的带蒂粘膜下子宫肌瘤,门诊宫腔镜下微电极配合取环钳治疗是安全、简便而有效的方法。
Objective To investigate the effect of hysteroscopic microelectrode with pincer clamp in treating pedunculated submucosal uterine fibroids. Methods The clinical data of 21 patients with pedunculated submucosal myoma of uterus treated with ring-forceps removal after endoscopic microcoagulation after endoscopic diagnosis in our hospital from July 2003 to December 2004 were retrospectively analyzed. The success rate of surgery, complications and follow-up results. Results Of the 21 cases, 18 cases (85.71%) were successfully treated with an average of 14 m in. In all successful cases, the diameter of fibroids was less than 2 cm and the diameter of tumor peduncle was less than 1 cm. No serious complications occurred during operation. The patients were completely satisfied with the follow-up and the satisfaction rate was 100%. Conclusions For pedunculated submucosal uterine fibroids with fibroids less than 2 cm in diameter and less than 1 cm in diameter, hysteroscopic microelectrodes and loop pliers are safe, simple and effective methods.