张黎童

[摘要] 目的 对应用宫腔电切术方式对患有子宫粘膜下肌瘤疾病的患者实施治疗的临床效果进行研究。方法 选择在该院就诊的患有子宫粘膜下肌瘤疾病的患者共86例，随机分为对照组和治疗组，平均每组43例。采用子宫肌瘤常规开腹手术方式对对照组患者实施治疗；采用宫腔电切术方式对治疗组患者实施治疗。结果 治疗组患者子宫肌瘤手术操作时间（58.95±10.47）min、术后肛门排气功能恢复时间（19.34±5.36）h、术后下床活动时间（2.01±0.97）d、术后住院接受恢复治疗时间（5.16±1.08）d明显短于对照组[（93.52±13.68）min，（34.59±8.62）h，（4.21±0.95）d，（8.63±2.14）d；子宫粘膜下肌瘤疾病治疗效果（总有效率90.7%）明显优于对照组（总有效率69.8%）；子宫肌瘤围手术期治疗阶段不良反应（1例）明显少于对照组（9例）。结论 应用宫腔电切术方式对患有子宫粘膜下肌瘤疾病的患者实施治疗的临床效果非常明显。

[关键词] 宫腔电切术；子宫粘膜下肌瘤；治疗

[中图分类号] R737 [文献标识码] A [文章编号] 1674-0742（2015）04（c）-0054-02

[Abstract] Objective To study the clinical effect of the implementation of treatment on with submucous myoma of uterus disease patients in application of hysteroscopic electric resection method. Methods 86 patients in our hospital suffering from uterine fibroids submucosal disease， were randomly divided into control group and treatment group， with an average 43 cases in each group.Using uterine fibroids conventional open operation to treat patients of the control group； using intrauterine transurethral surgery in the treatment for patients of treatment group. Results The time of patients treated with uterine fibroids operation was（58.95±10.47）min， postoperative flatus functional recovery time （19.34 ± 5.36）h， postoperative ambulation （2.01±0.97）d， postoperative recovery hospitalized for treatment time （5.16 ± 1.08）d was significantly shorter than the control group [（93.52±13.68）min， （34.59 ± 8.62）h， （4.21 ± 0.95）d， （8.63 ± 2.14）d）]； submucosal fibroids uterine disease treatment effect （the total efficiency of 90.7%） was significantly than the control group （the total efficiency of 69.8% ）； perioperative treatment of uterine fibroids stage of adverse reactions （one case） was significantly less than the control group （9 cases）. Conclusion TURP intrauterine way for patients suffering from uterine fibroids submucosal disease implementation of clinical treatment effect is very obvious.

[Key words] Resection of the uterine cavity； Submucous uterine fibroids； Treatment

子宫肌瘤属于女性生殖器中出现最多的一种良性肿瘤类病变，在育龄期女性中该病的发病率可以达到20%以上，粘膜下肌瘤患者人数会占全部子宫肌瘤患者人数的10%以上。月经过多、子宫持续性异常出血是子宫粘膜下肌瘤疾病的两大基本特征性表现[1]。开腹切开子宫行肌瘤剔除术是临床以往对该类子宫肌瘤疾病进行治疗的常规方法，有的时候甚至还会通过切除子宫的方式进行治疗[2]。该次对2012年8月—2014年8月该院收治的患有子宫粘膜下肌瘤疾病的患者应用宫腔电切术治疗的效果进行研究，现报道如下。……