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目的探讨宫腔镜电切术治疗宫颈良性病变的疗效和价值。方法应用宫腔镜电切术治疗重度宫颈糜烂166例,无蒂宫颈肌瘤34例,宫颈管息肉82例,随访3～24个月,观察评价其疗效。结果一次性治疗有效率达100%。157例随访3～24个月,治愈率98%。平均手术时间18 min,术中出血5～25 ml,5.3%脱痂期出现中量阴道出血,经对症治疗3～5 d止血。结论宫腔镜电切术治疗宫颈良性病变安全有效、简单易行、并发症少、恢复快,可避免二次手术和过度治疗,值得推广。
Objective To investigate the efficacy and value of hysteroscopic electrotomy for benign cervical lesions. Methods Hysteroscopic electrotomy was used to treat 166 cases of severe cervical erosion, 34 cases of non-pedicled cervical myoma, and 82 cases of cervical polyp. The patients were followed up for 3-24 months. The curative effect was observed and evaluated. Results One-time treatment of effective rate of 100%. 157 cases were followed up for 3 to 24 months, the cure rate was 98%. The mean operative time was 18 min, intraoperative bleeding was 5 ~ 25 ml, and 5.3% of vaginal bleeding occurred during scab off. The hemostasis was achieved after 3 ~ 5 days of symptomatic treatment. Conclusion Hysteroscopic resection of benign and malignant cervical lesions is safe and effective, simple and easy to implement, less complications, faster recovery, to avoid secondary surgery and over-treatment, it is worth promoting.