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宫腔镜电切术治疗黏膜下子宫肌瘤的临床效果探讨

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目的:分析宫腔镜电切术治疗黏膜下子宫肌瘤的临床效果。方法:以 86 例邳州东大医院收治的黏膜下子宫肌瘤患者作为本次研究对象,选自 2021 年 3 月至 2022 年 11 月,依据治疗方式的不同将其分组,对照组予以开腹手术治疗(n=43),观察组予以宫腔镜电切术治疗(n=43)。比较两组围术期指标、疼痛评分(visual analogue scale,VAS),比较两组月经持续时间、月经量、子宫内膜厚度以及术后并发症情况。结果:观察组手术时间(32。32±5。38)min、术后排气时间(1。43±0。55)h、首次下床时间(2。21±0。56)h、住院时间(5。11±0。56)d均较对照组短(P<0。05),观察组术中出血量(41。54±5。87)mL较对照组少(P<0。05);术后 1d、3d、7d,观察组VAS 评分较对照组低(P<0。05);治疗后,观察组月经持续时间、月经量较对照组少,子宫内膜厚度较对照组小(P<0。05);观察组治疗后并发症总发生率低于对照组(P<0。05)。结论:黏膜下子宫肌瘤患者选择宫腔镜电切术可显著缩短围术期各项指标时间,使得月经持续时间、月经量逐渐恢复正常,缓解患者疼痛情况,降低术中出血量以及并发症的发生。
Clinical efficacy of hysteroscopic resection for submucosal uterine fibroids
Objective:To analyze the clinical effect of hysteroscopic resection in the treatment of submucosal uterine fibroids.Methods:A total of 86 patients with submucosal uterine fibroids admitted to Dongda Hospital in Pizhou were selected as the subjects of this study.They were selected from March 2021 to November 2022.According to different treatment methods,they were divided into two groups:control group(n=43)and observation group(n=43)with laparotomy.Perioperative inde-xes,visual analogue scale(VAS),menstrual duration,menstrual volume,endometrial thickness and postoperative complica-tions were compared between the two groups.Results:The observation group operation time(32.32±5.38)min,the postop-erative exhaust time(1.43±0.55)h,the first time to get out of bed(2.21±0.56)h,and the hospital stay(5.11±0.56)d were shorter than control group(P<0.05).The observation group intraoperative blood loss(41.54±5.87)mL was less than control group(P<0.05).The observation group VAS score was lower than control group at 1,3 and 7 days after operation(P<0.05).After treatment,the observation group menstrual duration and the amount of menstruation were smaller than control group(P<0.05).The observation group incidence of total complications was lower than control group(P<0.05).Conclusion:In patients with submucosal uterine fibroids,hysteroscopic resection can significantly shorten the perioperative time of various indicators,make menstrual duration and menstrual volume gradually return to normal,relieve patients'pain,re-duce intraoperative blood loss and the occurrence of complications.

Hysteroscopic electrotomySubmucosal uterine myomaOperation timePain scoreEndometrial thickness

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邳州东大医院妇产科,江苏 邳州 221300

宫腔镜电切术 黏膜下子宫肌瘤 手术时间 疼痛评分 子宫内膜厚度

2024

中外女性健康研究
武汉大学

中外女性健康研究

ISSN:2096-0417
年,卷(期):2024.(4)
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