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目的评价宫腔镜手术治疗子宫肌壁间黏膜下肌瘤的临床疗效及手术安全。方法经宫腔镜下电切子宫肌壁间肌瘤14例,术后随访手术效果。结果应用宫腔镜手术治疗子宫肌壁间肌瘤,术后月经改善情况满意率93%,其中切除范围≥70%1例,术后随访残余肌瘤不再生长,有1例患者术后受孕,阴道分娩,胎儿发育正常,全部手术无手术并发症发生。结论宫腔镜子宫肌瘤切除术(TCRM)手术具有其他手术方法不可替代的优越性,随着宫腔镜手术的经验积累和广泛应用,宫腔镜电切术治疗子宫肌壁间黏膜下肌瘤创伤性小、安全性强、易推广、易应用、预后好、出现并发症少,还可改善生殖预后。
Objective To evaluate the clinical efficacy and safety of hysteroscopic surgery for treating submucous myoma of uterine muscle. Methods Hysteroscopic resection of uterine fibroids in 14 cases, follow-up after surgery. Results Hysteroscopic surgery for uterine myometrial myomectomy was performed. The satisfaction rate of postoperative menstrual improvement was 93%, including 1 case of ≥70% resection and follow-up of residual fibroids, 1 case of postoperative pregnancy , Vaginal delivery, normal fetal development, no surgical complications of all surgery. Conclusion Hysteroscopic myomectomy (TCRM) surgery has the advantages of other surgical methods irreplaceable. With the accumulation of hysteroscopic surgery experience and extensive application of hysteroscopic resection of the uterine muscle wall between the submucous muscle Tumor trauma is small, safe, easy to promote, easy to use, good prognosis, fewer complications, but also improve reproductive prognosis.