【摘要】 目的分析宫腔镜电切术治疗多发性子宫黏膜下肌瘤的临床价值。方法应用宫腔镜电切术的“开窗剥切”法,治疗多发性子宫黏膜下肌瘤8例。结果7例一次成功完成手术,另有1例因肌瘤数目过多,患者年龄较轻且未婚,行宫腔镜电切术切除部分肌瘤。术后随访2～26个月,2例术后有轻微宫腔粘连,1例发现肌瘤复发,其余患者均未发生并发症,所有患者月经异常症状均有明显改善,2例患者术后正常妊娠。结论宫腔镜电切术治疗多发性子宫黏膜下肌瘤安全,有效,并发症少,恢复快,保留子宫,尤其“开窗剥切”法,在减少子宫内膜损伤方面的独特优势值得思考。更多还原

【Abstract】 【Objective】 To analyse the clinical significance when multiple submucosal myoma of uterus was treated by hysteroscopic electrotomy.【Methods】 There were 8 patients with multiple submucosal myoma and treated by hysteroscopic electrotomy,mainly by using the method of "desquamation and resection after opening the window".【Results】 7 cases were performed the surgery only once.Additionally,1 patient was young,unmarried and having too much myoma,so we had to excise an amount of myoma.The period of follow-up was 2～26 months.2 patients happened intrauterine adhesion slightly;1 patients happened recurrence;other patients did not occur complications.The symptom of abnormal uterine bleeding was obviously improved and there are 2 cases had been pregnant normally.【Results】 It is safe and efficient when hysteroscopic electrotomy is used to treat multiple submucosal myoma of uterus.The patients not only remain the whole uterus but also recover rapidly,with few complications.And because of its inimitability,the method of "desquamation and resection after opening the window" is very valuable in treating this sort of submucosal myoma of uterus,especially to reduce endometrial trauma.更多还原