论文部分内容阅读
目的探讨超声联合宫腔镜治疗内突型壁间子宫肌瘤患者的效果。方法选取2012年1月至2014年1月本溪市中心医院收治的内突型壁间子宫肌瘤80例为研究对象,根据手术方式对患者进行分组,行传统开腹术治疗的48例患者为对照组,行超声联合宫腔镜手术治疗的32例作为观察组,比较两组患者的临床疗效及安全性。结果观察组患者手术时间、术后住院时间均明显短于对照组,术中出血量明显少于对照组,差异均有统计学意义(均P<0.05);观察组患者的输血、发热率均明显低于对照组,术后月经改善率明显高于对照组,差异均有统计学意义(均P<0.05);术后12个月,两组患者子宫肌层均完全愈合,但观察组患者术后1、3、6个月时子宫肌层愈合率均明显高于对照组,差异均有统计学意义(均P<0.05)。结论超声联合宫腔镜治疗内突型壁间子宫肌瘤患者临床疗效明显,具有创伤小、出血少、术后恢复快、住院时间短、安全性高等优点。
Objective To investigate the effect of ultrasound combined with hysteroscopy in the treatment of patients with uterine leiomyoma of the inner bulb. Methods Eighty cases of endometrial wall uterine fibroids treated in Benxi Central Hospital from January 2012 to January 2014 were enrolled in this study. According to the surgical methods, 48 cases were treated by conventional laparotomy Control group, line ultrasound combined hysteroscopic treatment of 32 cases as the observation group, the clinical efficacy and safety of the two groups were compared. Results The operation time and postoperative hospital stay in the observation group were significantly shorter than those in the control group. The blood loss in the observation group was significantly less than that in the control group (all P <0.05). The blood transfusion and fever rate in the observation group Significantly lower than the control group, postoperative menstrual improvement rate was significantly higher than the control group, the difference was statistically significant (all P <0.05); 12 months after surgery, the two groups of patients with uterine myometrial healed completely, but the observation group patients The healing rates of myometrium at 1, 3 and 6 months after operation were significantly higher than those in control group (all P <0.05). Conclusion Ultrasound combined with hysteroscopy in the treatment of patients with uterine fibroids within the condom-shaped wall obvious clinical efficacy, with less trauma, less bleeding, postoperative recovery, shorter hospital stay, higher safety.