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目的探讨宫腔镜治疗子宫肌瘤的有效性、安全性、彻底性。方法选择61例子宫肌瘤患者应用宫腔电切镜治疗,其中带蒂粘膜下肌瘤25例,粘膜下肌瘤壁间内突>50%22例,壁间肌瘤内突25%～50%7例,壁间肌瘤内突<25%5例,壁间肌瘤无内突2例。结果61例子宫肌瘤患者,宫腔镜治疗一次治愈55例,失败1例,一次治愈率90.16%,有效率98.36%,无子宫穿孔、大出血、感染发生,1例TURP综合征。结论宫腔镜治疗子宫肌瘤创伤小、痛苦轻、恢复快、住院时间短、并发症少,但要严格选择病例。
Objective To investigate the effectiveness, safety and thoroughness of hysteroscopic treatment of uterine fibroids. Methods Totally 61 cases of uterine fibroids were treated by uterine resection of the uterine cavity, including 25 cases of pedunculated submucosal fibroids, 50 cases of intramural medullary obliteration in 22 cases, and 25% ~ 50 cases of intramural fibroids % 7 cases, intramural myoma <25% 5 cases, intramural fibroids without internal protrusion in 2 cases. Results 61 cases of uterine fibroids, hysteroscopic treatment of 55 cases of a cure, failure in 1 case, a cure rate of 90.16%, the effective rate of 98.36%, no uterine perforation, bleeding, infection, 1 case of TURP syndrome. Conclusion Hysteroscopic treatment of uterine fibroids trauma, pain, fast recovery, shorter hospital stay, fewer complications, but to be strictly selected cases.