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目的探讨宫腔电切镜子宫黏膜下肌瘤切除术的效果及安全性。方法因月经改变、子宫异常出血、腹痛等,经B超、宫腔镜检查诊断子宫黏膜下肌瘤,行宫腔镜电切术128例。结果 0型病例62例,Ⅰ型病例60例,Ⅱ型病例6例,128例手术均顺利完成,无一例发生水中毒、子宫穿孔、大出血、感染等并发症。术后随访月经过多患者120例,117例明显减少,有效率97.6%,腹痛患者50例,术后症状全部消失,有效率100%。结论宫腔电切镜治疗子宫黏膜下肌瘤安全、有效。
Objective To investigate the efficacy and safety of resectoscopic uterine myomectomy. Methods Due to menstrual changes, abnormal uterine bleeding, abdominal pain and so on, the diagnosis of uterine fibroids by ultrasound B, hysteroscopy, hysteroscopic resection in 128 cases. Results There were 62 cases of type 0, 60 cases of type Ⅰ, 6 cases of type Ⅱ, and 128 cases were successfully completed. No case of water poisoning, uterine perforation, bleeding, infection and other complications occurred. Postoperative follow-up 120 cases of menorrhagia, 117 cases were significantly reduced, the effective rate was 97.6%, 50 patients with abdominal pain, postoperative symptoms disappeared, the effective rate of 100%. Conclusion Uterine resection of uterine fibroids submucosal fibroids safe and effective.