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宫腔镜诊断和治疗黏膜下子宫肌瘤的临床实践

Clinic practice of diagnosis and therapy of submucous myoma by hysteroscope
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摘要 目的:探讨宫腔镜电切术(hysteroscopic transcervical resection of myoma,TCRM)治疗黏膜下子宫肌瘤的效果和安全性。方法:我院收治的子宫疾病1266例,经B超和宫腔镜检查确诊为黏膜下子宫肌瘤428例,应用宫腔镜电切术治疗402例。术后随访6~24个月。结果:电切诊疗黏膜下子宫肌瘤402例均一次性成功。手术时间平均为35min,手术出血量为25~100ml,膨宫液用量为600~2800ml,切除肌瘤直径为1.0~6.2cm,肿瘤数目1~4个。随访未发现并发症。结论:宫腔镜电切术是目前诊断和治疗黏膜下子宫肌瘤的最佳选择。 Objective: To discuss the effectiveness and safety of submucous myoma treated by TCRM.Methods:Among 1 266 cases of uterine diseases,428 cases were diagnosed with submucous myoma by B supersonic and hysteroscope,among the 428 cases,402 cases were treated by TCRM.Results:402 cases were cured by TCRM just one time.The average time of operation was 35 minutes,the bleeding volume was 25-100 ml,the volume of distension fluids was 600-2 800 ml, the diameter of submucous myoma is 1-6.2 cm,the number of tumor was 1-4. Then following up 6-24 months, no compications happened.Conclusion:TCRM is the best choice for the diaenosis and therapy of submucous mvoma.
出处 《中国医药导报》 CAS 2008年第2期66-67,共2页 China Medical Herald
关键词 宫腔镜 黏膜下子宫肌瘤 电切术 Hysteroscope Submucous myoma TCRM
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  • 1Dueholm M. Forman A, Ingerslev J. Regression of residual tissue after implete resection of submucous myomas. Gynecol Endos 1998,7:309~314.
  • 2林保良, 山本百合惠. ヒステロフアイバ-スコ-プによる粘膜下筋肿. 产妇治疗, 1996,73:476-480.
  • 3Wamsteker K, Emanuel MH, deKruif JH. Transcervical hysteroscopic resection of submucous fibroids for abnormal uterine bleeding: Results regarding degree of intramural extension. Obstet Gynecol, 1993,82:736~740.
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