摘要
目的探讨日间手术模式应用于宫腔镜子宫内膜息肉切除术的可行性与安全性。方法我院2012年7月-2013年6月42例宫腔镜下子宫内膜息肉切除术采用日间手术模式中的过夜模式,即入院当日手术,当晚留院观察,次日出院,观察住院费用,术后疼痛、阴道流血等手术效果。结果 42例宫腔镜子宫内膜息肉切除术顺利完成。2例因腹痛腹胀明显伴有阴道流血多而延长住院时间;1例术后恶心较重而延长住院时间。除3例延迟出院外,39例均在住院24 h内手术并安全离院,住院费用（3685±338）元。1例术后第5天病理回报中重度不典型增生,再次住院行全子宫切除手术治疗。39例24 h内出院中,除2例失访和1例不典型增生,余36例对日间宫腔镜手术模式疗效满意。结论日间手术模式应用于宫腔镜子宫内膜息肉切除术可行、安全。
Objective To explore the safety and feasibility of ambulatory surgery of hysteroscopic endometrial polyp electrocision. Methods There were 42 cases of ambulatory surgery of hysteroscopic endometrial electrocision from July 2012 to June2013 in this hospital. The patients were given operation in the admission day,hospitalized for one night,and discharged from hospital in the next morning. Surgical outcomes such as hospitalization expenses,postoperational pains and vaginal bleeding were observed.Results The operation was successfully completed under hysteroscope in all the 42 cases. Two patients experienced longer length of hospital stay due to severe abdominal pain and distension and large amount of vaginal bleeding; one patient had a prolonged hospital stay because of postoperative nausea. The remaining 39 patients underwent operation and left hospital within 24 hours. The total costs of treatment were（ 3685 ± 338） RMB. Pathological examination showed atypical endometrial hyperplasia in 1 case,which was given a re-operation of hysterectomy. Except for 2 patients who were lost of follow-up and 1 case of atypical endometrial hyperplasia,the other36 patients got good therapeutic effects and high degree of satisfaction. Conclusion Ambulatory surgery is safe and feasible when used in hysteroscopic endometrial polyp electrocision.
出处
《中国微创外科杂志》
CSCD
北大核心
2015年第7期616-618,共3页
Chinese Journal of Minimally Invasive Surgery
关键词
日间手术
宫腔镜
内膜息肉切除术
Ambulatory surgery
Hysteroscopy
Endometrial polyp electrocision
作者简介
通讯作者，E—mail：MSY242@163．com
