B超监视下宫腔镜手术与腹腔镜手术切除Ⅰ型和Ⅱ型粘膜下子宫肌瘤后患者妊娠结局的临床研究
Clinical study of pregnancy outcomes in patients after hysteroscopic surgery under B-ultrasound monitoring versus laparoscopic surgery for resection of type Ⅰ and type Ⅱ submucosal uterine fibroids
张美琼 1林秋兰 1陈俞儒2
作者信息
- 1. 广东江门中医药职业学院护理学院,广东江门 529000
- 2. 广东省江门市五邑中医院妇科,广东江门 529000
- 折叠
摘要
目的 比较B超监视下宫腔镜手术与腹腔镜手术切除Ⅰ型和Ⅱ型粘膜下子宫肌瘤的临床效果.方法 选取 2021年 5 月至 2022 年 9 月江门市五邑中医院收治的 60 例Ⅰ型和Ⅱ型粘膜下子宫肌瘤患者作为研究对象,根据不同术式分为对照组与研究组,每组各 30 例.对照组行腹腔镜手术,研究组行B超监视下宫腔镜手术,比较两组手术相关指标、临床疗效、并发症发生情况及随访结果.结果 研究组术中出血量少于对照组,手术时间、首次离床时间、首次排气时间及住院时间短于对照组,术后 6 h视觉模拟评分法评分低于对照组(P<0.05);两组Ⅰ型与Ⅱ型治疗有效率比较,差异无统计学意义(P>0.05);研究组并发症总发生率为 3.33%,低于对照组的 20.00%(P<0.05);研究组妊娠成功率与足月分娩率高于对照组,流产率与早产率低于对照组(P<0.05).结论 与腹腔镜手术相比,B超监视下宫腔镜手术效果更好,患者疼痛轻微,术后恢复快,可改善粘膜下子宫肌瘤切除术患者的妊娠结局.
Abstract
Objective To compare the clinical effect of hysteroscopic surgery under B-ultrasound monitoring and laparoscopic surgery in the resection of type Ⅰ and type Ⅱ submucous uterine fibroids.Methods A total of 60 patients with type Ⅰ and type Ⅱ submucous uterine fibroids in Wuyi Traditional Chinese Medicine Hospital of Jiangmen City from May 2021 to September 2022 were selected as the study subjects.All the patients were divided into the control group and the study group according to different operation methods,with 30 cases in each group.The control group received laparoscopic surgery,and the study group received hysteroscopic surgery under B-ultrasound monitoring.The operation related indicators,clinical efficacy,incidence of complications and follow up results were compared between the two groups.Results The intraoperative bleeding of the study group was less than that of the control group,and the surgical time,first time out of bed,first exhaust time and hospitalization time of the study group were shorter than those of the control group,and the score of visual analogue scale at 6 hours after surgery of the study group was lower than that of the control group(P<0.05).There was no statistically significant difference in the effective rate of treatment of type Ⅰ and type Ⅱ submucous uterine fibroids between the two groups(P>0.05).The total incidence of complications in the study group was 3.33% ,which was lower than the 20.00% in the control group(P<0.05).The success rate of pregnancy and term delivery rate in the study group were higher than those in the control group,while the abortion rate and premature delivery rate were lower than those in the control group(P<0.05).Conclusion Compared with laparoscopic surgery,hysteroscopic surgery under B-ultrasound monitoring has better effects,with less pain and faster postoperative recovery,which can improve the pregnancy outcomes of patients undergoing submucous uterine fibroids resection.
关键词
B超监视下宫腔镜手术/腹腔镜手术/粘膜下子宫肌瘤/并发症/妊娠成功率Key words
Hysteroscopic surgery under B-ultrasound monitoring/Laparoscopic surgery/Submucous uterine fibroid/Complication/Pregnancy success rate引用本文复制引用
基金项目
江门市医疗卫生领域科技计划项目(2021YL05005)
出版年
2024
国家科技期刊平台
NSTL
维普
万方数据