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宫腔镜下子宫肌瘤切除术的临床实践 被引量:7

Clinical practice of hysteroscopic myomectomy
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摘要 目的:探讨宫腔镜下子宫肌瘤切除术的临床实践。方法:对我院2018-03-2019-03间实施宫腔镜下子宫肌瘤切除术的患者共50例进行分析,研究宫腔镜下子宫肌瘤切除术的手术技巧及并发症预防措施。结果:所有患者均一次完成手术,手术成功率为100%。共切除肌瘤1~6枚,手术的平均时间为24~43min,术中的出血量为34~232mL,患者的平均住院时间为5~7d,出院后患者的月经量逐渐恢复正常,术后3个月对患者进行宫腔镜复查,患者的宫腔形态恢复正常,均无并发症的发生。结论:子宫肌瘤官腔镜下电切是一种微创手术,创伤程度较轻,手术时间及住院时间短,有利于患者的恢复,手术是安全、有效值得临床广泛应用。 OBJECTIVE:to evaluate the clinical effect of hysteroscopic hysteromyoma resection.METHODS a total of50 patients who underwent hysteroscopic myomectomy in our hospital from March 2018 to March 2019 were analyzed to study the surgical skills and complications prevention measures of hysteroscopic myomectomy.RESULTS all patients completed the operation at one time,and the success rate was 100%.A total of 1~6 fibroids were resected,the average operation time was 24~43 min,the intraoperative blood loss was 34~232 mL,and the average hospital stay was 5~7 d.After discharge,the patient’s menstrual volume gradually returned to normal.Three months after the surgery,hysteroscopy was performed on the patient,and the patient’s uterine morphology returned to normal without complications.CONCLUSION the endoscopic electrotomy of uterine fibroids is a minimally invasive operation with less trauma,short operation time and hospital stay,which is beneficial to the recovery of patients.The operation is safe,effective and worthy of extensive clinical application.
作者 张颖 ZHANG Ying(The Third Affiliated Hospital of Zunyi Medical University(the first people's Hospital of Zunyi),Zunyi 563000,P.R.China)
出处 《中华肿瘤防治杂志》 CAS 北大核心 2019年第S01期116-116,118,共2页 Chinese Journal of Cancer Prevention and Treatment
关键词 宫腔镜 子宫肌瘤 切除术 临床实践 hysteroscopy Uterine fibroids Resection Clinical practice
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