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目的探讨宫腔镜电切术治疗Ⅱ型子宫黏膜下肌瘤的安全性。方法选取2011年4月~2014年4月在该院就诊的Ⅱ型子宫黏膜下肌瘤患者36例为研究对象,随机分为观察组及对照组,每组各18例。对照组患者进行传统经腹治疗,观察组患者进行宫腔镜电切术治疗,观察并比较两组患者的各项手术指标、术后并发症发生率及住院时间。结果观察组患者的手术时间、术中出血量等指标均明显优于对照组,术后并发症发生率、术后住院时间明显低于对照组,两组比较,差异有统计学意义(P<0.05)。结论传统经腹手术以及宫腔镜电切术治疗Ⅱ型子宫黏膜下肌瘤均有较好的临床效果,但宫腔镜电切术在手术时间、术中出血量等方面均明显优于传统经腹手术治疗方法。可有效提高患者术后的康复效果和速度、减少患者术后并发症的发生几率,具有一定的临床应用安全性和推广应用价值。
Objective To investigate the safety of hysteroscopic resection of type Ⅱ uterine fibroids. Methods From April 2011 to April 2014, 36 patients with type Ⅱ uterine submucous myoma treated in this hospital were randomly divided into observation group and control group, with 18 cases in each group. The patients in the control group underwent traditional abdominal treatment. The patients in the observation group were treated with hysteroscopic resection. The surgical indexes, the incidence of postoperative complications and the length of stay in the two groups were observed and compared. Results The operation time, blood loss and other indexes in the observation group were significantly better than those in the control group. The incidence of postoperative complications and postoperative hospital stay were significantly lower than those in the control group. There was significant difference between the two groups (P < 0.05). Conclusion Traditional transabdominal surgery and hysteroscopic resection of type Ⅱ uterine fibroids have a good clinical effect, but the hysteroscopic resection in the operation time, blood loss and other aspects were significantly better than the traditional Transabdominal surgical treatment. Can effectively improve the postoperative rehabilitation effect and speed of patients, reduce the incidence of postoperative complications in patients with a certain clinical application of safety and promote the use of value.