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目的探讨宫腔镜电切除术治疗子宫黏膜下肌瘤伴不孕生殖的预后情况。方法选取2011年2月至2015年5月间收治的子宫黏膜下肌瘤伴不孕患者104例进行分析,所有患者均采取宫腔镜电切除术进行治疗,观察患者治疗前后妊娠及流产情况,并对相关数据进行统计学分析。结果宫腔镜电切除术治疗组患者术前妊娠率为51.9%,治疗后其妊娠率为73.1%,治疗前后妊娠率相比差异有统计学意义(P<0.05);宫腔镜电切除术治疗组患者术后流产率为15.4%,显著优于治疗前的33.7%,差异有统计学意义(P<0.05);治疗后有1例患者术后11个月肌瘤复发,再次行宫腔镜下子宫肌瘤电切术,手术后妊娠,足月剖宫产分娩。结论宫腔镜电切除术治疗子宫黏膜下肌瘤伴不孕对子宫的损伤较小,可明显增加妊娠率,降低自然流产率,值得临床推荐。
Objective To investigate the prognosis of hysteroscopic resection of uterine fibroids with infertility. Methods From February 2011 to May 2015, 104 patients with uterine submucous myoma and infertility were selected for analysis. All patients underwent hysteroscopic resection for treatment of pregnancy and abortion, And the relevant data for statistical analysis. Results The preoperative pregnancy rate was 51.9% in the hysteroscopic resection group, and the pregnancy rate was 73.1% after treatment. There was significant difference in the pregnancy rate between before and after treatment (P <0.05); Hysteroscopic resection In the treatment group, the postoperative abortion rate was 15.4%, which was significantly better than that before treatment (33.7%), the difference was statistically significant (P <0.05). After treatment, 1 patient had fibroids recurrence 11 months after operation, Under the uterine fibroids resection, pregnancy after surgery, full-term cesarean delivery. Conclusion Hysteroscopic resection of uterine fibroids with infertility treatment of uterine lesion smaller, can significantly increase the pregnancy rate, reduce the spontaneous abortion rate, it is worth clinical recommendation.