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目的探索宫腔镜手术治疗子宫黏膜下肌瘤的治疗效果及安全性。方法对243例接受子宫黏膜下肌瘤宫腔镜电切术的疗效进行回顾性分析。结果 243例患者均顺利完成手术,术后随访3~51个月,术后治疗满意率为93.9%,所有0型和Ⅰ型黏膜下肌瘤术后满意率为100%,有生育需要者,已有19例妊娠,11例成功分娩。结论治疗子宫黏膜下肌瘤的首选方式为宫腔镜电切术。严格筛选适应证,正确熟悉掌握操作技能,术程超声监护是宫腔镜手术疗效和安全性的保障。
Objective To explore the therapeutic effect and safety of hysteroscopic surgery for uterine submucosal fibroids. Methods 243 cases undergoing hysteroscopic resection of uterine submucosal fibroids were retrospectively analyzed. Results All the 243 patients were successfully performed the operation, with a follow-up of 3 to 51 months postoperatively. The postoperative satisfaction rate was 93.9%. The satisfaction rate of all type 0 and type Ⅰ submucosal fibroids was 100% There have been 19 cases of pregnancy, 11 cases of successful childbirth. Conclusion The treatment of uterine submucous myoma is the preferred method of hysteroscopic resection. Strict screening indications, the correct familiar with the operating skills, surgical monitoring of hysteroscopic surgery efficacy and safety of protection.