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目的 :探讨宫腔镜下激光手术治疗子宫肌壁间肌瘤的安全性和有效性。方法 :对 1996年 2月至 2 0 0 0年11月间 ,经宫腔镜下 Nd:YAG激光治疗子宫肌壁间肌瘤的 10 3例患者资料进行总结分析。结果 :10 3例患者中 68例为月经过多 ,其中 4例合并不育 ,32例月经量偏多妇科检查发现 ,3例为绝经后阴道流血。其中 2 7例肌瘤完全切除 ,子宫恢复正常大小 ,76例为突出于宫腔内部分肌瘤切除。其中 81例施一次手术 ,术后 2 0例月经恢复正常 ,3例绝经后流血治愈 ,58例月经量显著减少 ;2 0例施两次手术 ,术后 7例月经恢复正常 ,13例月经量显著减少 ;2例施三次手术后月经量显著减少。月经恢复正常率为 2 7.0 0 % ,有效率为 10 0 %。 4例不育病人术后 3例妊娠。无术中、术后并发症。结论 :宫腔镜下 Nd:YAG激光治疗子宫肌壁间肌瘤是一种提高生命质量的安全、有效的治疗方法
Objective: To investigate the safety and effectiveness of hysteroscopic laser surgery in treating uterine fibroids. Methods: The data of 103 patients who underwent hysteroscopic Nd: YAG laser treatment of intramural myoma of uterus between February 1996 and November 2000 were analyzed. Results: Among 103 cases, 68 cases were menorrhagia, 4 cases were infertile, 32 cases had more menstrual flow, and 3 cases were vaginal bleeding after menopause. 27 cases of myoma completely removed, the uterus returned to normal size, 76 cases of myomectomy highlighted in the uterine cavity. Among them, 81 cases were given an operation, 20 cases had normal menstruation, 3 cases were cured after menopause, and 58 cases were significantly reduced in menstruation. Twenty patients underwent surgery twice and 7 cases had menstruation returned to normal after operation. Thirteen menstruation Significantly reduced; 2 cases of three operations significantly reduced menstrual flow. Menstrual recovery was normal rate of 2 7.0 0%, the effective rate was 10 0%. 4 cases of infertility patients after 3 cases of pregnancy. No surgery, postoperative complications. Conclusion: Hysteroscopic Nd: YAG laser treatment of intramural fibroids is a safe and effective treatment to improve the quality of life