Objective To observe the clinical effect of hysteroscopic electrotomy combined with clamp in the treatment of type 0-Ⅱ submucous myoma of uterus.Methods From January 2019 to January 2024,90 patients with type 0-Ⅱ submucous myoma in our hospital were divided into treatment group and control group according surgery,with 45 cases in each group.The treatment group was treated with oval forceps and gallbladder lithotomy forceps,supplemented by hysteroscopic electrotomy,while the control group was treated with hysteroscopic electrotomy.The perioperative indicators,clinical efficacy,postoperative residual rate of myoma,intrauterine adhesion rate and recurrence rate of myoma were compared between the two groups.Results Compared with the control group,the operation time and uterine distension in the treatment group were significantly less,and the difference was statistically significant(P<0.05).There was no significant difference in intraoperative blood loss between the two groups(P>0.05).Six months after operation,the intrauterine adhesion rate,residual rate of myoma and recurrence rate of myoma in the treatment group were significantly lower than those in the control group,and the difference was statistically significant(P<0.05).The clinical effective rate of the treatment group was significantly higher than that of the control group,with statistical significance(P<0.05).Conclusion Using oval forceps and cholecystolithotomy forceps to resect 0-Ⅱ submucous myoma can obviously shorten the operation time and reduce the amount of uterine distension.
Submucous myoma of uterusHysteroscopeForcepClinical efficacy