蓝洁珍??华海红

[摘要] 目的 探讨分析应用宫腔镜以及开腹手术治疗黏膜下子宫肌瘤的临床效果及其安全性。方法 将我院2014年1月～2016年12月期间收治的黏膜下子宫肌瘤患者68例作为研究对象并随机分组，研究组34例患者均以宫腔镜电切术进行治疗，对照组34例以常规开腹手术实施治疗。结果 与对照组进行比较，研究组患者的手术过程出血量、手术进行时间、肛门排气时间以及住院治疗时间等均显著偏少（P<0.05）。完成手术治疗后，两组均具有一定比例的发热、阴道出血量多等相关并发症，研究组并发症发生率为5.88%，显著低于对照组的23.53%（P<0.05）。结论 针对黏膜下子宫肌瘤患者实施治疗，宫腔镜电切术可以产生显著的临床疗效，安全性高，值得推广应用。

[关键词] 宫腔镜；开腹手术；黏膜下子宫肌瘤

[中图分类号] R713.4 [文献标识码] A [文章编号] 2095-0616（2017）12-80-03

Clinical efficacy of hysteroscopy and laparotomy in the treatment of submucous myoma of uterus

LAN Jiezhen HUA Haihong

Department of Obstetrics and Gynecology， Chang'an Hospital， Dongguan 523843， China

[Abstract] Objective To explore the clinical effect and safety of hysteroscope and laparotomy in the treatment of submucous myoma of uterus. Methods 68 patients with submucous myoma of uterus cued in our hospital from January 2014 December -2016 year were selected as the research object， and they were randomly divided. 34 cases in study group underwent hysteroscopic resection， and 34 cases in control group were treated with conventional open surgery. The clinical efficacy and prognosis were compared. Results The amount of bleeding， operation time， anal exhaust time and hospital stay in the study group were significantly less than those in the control group（P<0.05）. After the completion of the operation， the two groups had a certain proportion of fever， vaginal bleeding and other complications， the incidence of complications in the study group was 5.88%， which was significantly lower than that in the control group of 23.53%（P<0.05）. Conclusion In the implementation of the treatment of submucous myoma of uterus patients， compared with open surgery， the hysteroscopic surgery has more significant clinical effect， low complication rate， and high safety. It has great application value.

[Key words] Hysteroscopy；Open surgery；Submucous myoma of uterus

近年來，由于相关因素的交互作用，导致子宫肌瘤发病率相对较高。严重影响患者健康以及正常生活[1-2]。该病是一类较为常见的妇科良性肿瘤，育龄妇女中的患病比例大约20%～25%，其病变程度不尽相同[3]。黏膜下子宫肌瘤是子宫肌瘤的典型类型之一。其主要临床症状是肿瘤表面包覆于子宫内膜之上[4]。与浆膜下肌瘤和肌壁间肌瘤进行比较，尽管黏膜下子宫肌瘤的瘤体体积更小，但很容易造成出血症以及贫血症状，具有更高的危险性，对患者的生命健康产生严重威胁并同时严重影响其生活质量[5]。临床治疗过程中，一般实施传统开腹手术。尽管能够获得一定效果，但还不够满意[6]。宫腔镜电切术属于一类新型微创手术。其同开腹手术相比，对患者所造成的创伤更小、出血量更少、并发症发生率更低，同时不会对患者正常的卵巢正常构成任何不良的影响，对于保护患者子宫具有重要意义。……