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目的:探讨宫腔镜电切术治疗子宫黏膜下肌瘤的临床疗效及手术安全性。方法:对2005年1月~2010年10月收治的272例子宫黏膜下肌瘤患者行宫腔镜下子宫黏膜下肌瘤切除术。其中0类128例,占47.1%;I类134例,占49.3%;II类10例,占3.6%。结果:272例患者均顺利完成手术,术后随访3~72个月,有效率为100%。所有0型和I型黏膜下肌瘤均一次性切除,所有病例均未出现子宫穿孔、水中毒、脏器损伤、感染等并发症。结论:宫腔镜下子宫黏膜下肌瘤切除术是治疗子宫黏膜下肌瘤安全有效的最佳方法。
Objective: To investigate the clinical efficacy and safety of hysteroscopic resection of uterine submucosal fibroids. Methods: Hysteroscopic submucous myomectomy was performed in 272 cases of uterine submucosal fibroids from January 2005 to October 2010. There were 128 cases in category 0, accounting for 47.1%; 134 cases in category I, accounting for 49.3%; 10 cases in category II, accounting for 3.6%. Results: All 272 patients completed the operation successfully. The follow-up period was 3 to 72 months with an effective rate of 100%. All type 0 and type I submucosal fibroids were resected in one time, and no complications such as uterine perforation, water poisoning, organ injury and infection were found in all cases. Conclusion: Hysteroscopic resection of uterine submucosal myomectomy is the best safe and effective treatment of uterine submucous myoma.