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目的探讨宫腔镜联合腹腔镜手术在治疗子宫腔内良性病变的安全性、可行性及临床效果。方法回顾分析了68例宫腔内良性病变宫腔镜联合腹腔镜手术的临床资料,其中子宫粘膜下肌瘤37例,子宫纵隔18例,子宫粘连12例,双角子宫1例。结果67例行宫腔镜联合腹腔镜手术治疗,1例中转开腹。平均手术时间45m in,平均出血量30m l。结论宫腔镜联合腹腔镜手术提高了宫腔镜治疗宫腔内良性疾病的安全性及有效性,降低了手术风险系数。
Objective To investigate the safety, feasibility and clinical effect of hysteroscopy combined with laparoscopic surgery in the treatment of benign lesions in uterine cavity. Methods A retrospective analysis of 68 cases of intrauterine malignant hysteroscopy combined with laparoscopic surgery clinical data, including 37 cases of uterine submucous myoma, uterine mediastinal in 18 cases, uterine adhesions in 12 cases, 1 case of double angle uterus. Results 67 cases of hysteroscopy combined with laparoscopic surgery, 1 case of laparotomy. The average operation time 45m in, the average amount of bleeding 30m l. Conclusion Hysteroscopy combined with laparoscopic surgery to improve the hysteroscopic treatment of benign diseases in the uterine cavity safety and effectiveness, reducing the risk factor for surgery.