宫腔镜电切术治疗黏膜下子宫肌瘤的效果观察

国实用医药2018年2月第13卷第6期ChinaPracMed．Feb2018．Vo1．13．N0．6宫腔镜电切术治疗黏膜下子宫肌瘤的效果观察刘杰【摘要】目的观察官腔镜电切术治疗黏膜下子宫肌瘤的效果。方法50例黏膜下子宫肌瘤患者，按照治疗方法不同分为对照组及观察组，各25例。对照组患者实施传统开腹手术治疗，观察组患者实施官腔镜电切术手术治疗，比较两组患者的临床治疗效果。结果对照组和观察组患者的临床治疗总有效率分别为68．0％(17／25)、92．0％(23／25)，比较差异有统计学意义(P<0．05)。经治疗，观察组患者手术时间、术后排气时间、术后下床时间、住院时间均显著短于对照组，术中出血量少于对照组，差异有统计学意义CP<0．05)。结论官腔镜电切术治疗黏膜下子宫肌瘤的临床疗效确切，可缩短手术时间，减少术中出血量，值得临床大力推广应用。【关键词】宫腔镜电切术；黏膜下子宫肌瘤；临床疗效DOI：10．141636．cnki．11-5547&．2018．06．001ObservationofeffectofhysteroscopicelectricresectioninthetreatmentofuterinesubmucousmyomaLIUfie．DepartmentofObstetricsandC~necology,LiaoningXifengCountyFirstHospital,Tiding112499,China【Abstract】0bjectiveToobservetheeffectofhysteroscopicelectricresectioninthetreatmentofuterinesubmucousmyoma．MethodsAtotalof50patientswithuterinesubmucousmyomaweredividedbydifferenttreatmentmethodsintocontrolgroupandobservationgroup，with25casesineachgroup．Thecontrolgroupreceivedtraditionallaparotomyfortreatment，andtheobserv~iongroupreceivedhysteroscopicelectricresectionfortreatment．Theclinicaltreatmenteffectintwogroupswascompared．ResultsThecontrolgroupandobservationgrouphadtotaleffectiverateofclinicaltreatmentrespectivelyas68．O％(17／25)and92．0％(23／25)，andthedifferencewasstatisticallysignificant(P<0．05)．Aftertreatment，theobservationgrouphadobviouslyshorteroperationtime，postoperativeexhaust．time，postoperativeoff-bedtimeandhospitalizationtimethanthecontrolgroup，andlessintraoperativebleedingvolumethanthecontrolgroup．TheirdifferencewasstatisticallysignificantfP