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目的为了探讨宫腔镜手术治疗子宫肌瘤的方法与治疗效果。方法采用应用持续灌流式宫腔电切镜,对118例子宫肌瘤患者行宫腔镜电切术手术治疗。结果118例中O型子宫肌瘤35例,Ⅰ型子宫肌瘤49例,Ⅱ型子宫肌瘤34例。术前宫腔镜检查,术中进行B超声或腹腔镜监护术,并进行术后随访。本组118例宫腔镜手术后,月经均恢复正常,其中1例偶有痛经,1例术后25天出血,再次行内膜电凝治愈,无子宫穿孔等并发症发生。结论从结果可以看出,宫腔镜手术是治疗子宫黏膜下肌瘤及宫颈肌瘤的一种有效方法。
Objective To explore the hysteroscopic surgical treatment of uterine fibroids and treatment. Methods Hysteroscopic resection of uterine fibroids was performed in 118 patients with uterine fibroids by continuous perfusion. Results In 118 cases, 35 cases were type O uterine fibroids, 49 cases were type Ⅰ uterine fibroids and 34 cases were type Ⅱ uterine fibroids. Preoperative hysteroscopy, intraoperative ultrasound B or laparoscopic monitoring, and follow-up. The group of 118 cases of hysteroscopic surgery, menstruation returned to normal, of which 1 case of occasional dysmenorrhea, 1 case of bleeding after 25 days, again cured endometrial electrocoagulation, no complications such as uterine perforation. Conclusions As can be seen from the results, hysteroscopic surgery is an effective method for the treatment of submucous myoma and uterine fibroids.