宫腔镜手术治疗黏膜下子宫肌瘤患者的效果及并发症发生率分析

马爱云

[摘要] 目的 对宫腔镜手术治疗黏膜下子宫肌瘤患者的效果及并发症发生率进行分析。方法 简单随机选取2018年1月—2019年1月在该院住院治疗的100例黏膜下子宫肌瘤患者为研究对象。以不同的手术治疗方案将患者分为实验组和常规组，每组50例。常规组采用传统开腹手术治疗方案，实验组采用宫腔镜手术治疗方案，分析两组患者治疗效果。 结果 实验组患者的手术时长（t=16.282，P=0.000）以及住院时长（t=9.364，P=0.000）均短于常规组，术中出血量少于常规组（t=13.902，P=0.000），治疗后实验组患者FSH（t=3.154，P=0.002）、LH（t=2.628，P=0.010）以及E2（t=2.535，P=0.013）的水平皆低于常规组患者，实验组的并发症发生率（8.00%）比常规组（24.00%）低16.00%，且两组患者差异有统计学意义（χ2=4.762，P=0.029<0.05）。结论 宫腔镜手术能有效减少手术时长及术中出血量，提高手术的安全性，降低黏膜下子宫肌瘤患者的并发症发生率，不会对患者卵巢功能造成较大影响，缩短患者住院时间，有效促进患者康复，值得在临床上推广应用。

[关键词] 宫腔镜手术;黏膜下子宫肌瘤;效果;并发症发生率

[Abstract] Objective To analyze the effect of hysteroscopic surgery on patients with submucosal uterine fibroids and the incidence of complications. Methods A total of 100 patients with submucosal uterine fibroids treated in the hospital from January 2018 to January 2019 were easy randomly selected as the research subjects. Patients were divided into experimental group and routine group with different surgical treatment schemes， with 50 cases in each group. The conventional group used traditional laparotomy， and the experimental group used hysteroscopic surgery to analyze the treatment effect of the two groups of patients. Conclusion The length of operation （t=16.282， P=0.000） and length of hospital stay （t=9.364， P=0.000） in the experimental group were shorter than those in the conventional group， and the intraoperative blood loss was less than that in the conventional group （t=13.902，P=0.000）， The levels of FSH （t= 3.154， P=0.002）， LH （t=2.628， P=0.010） and E2 （t=2.535， P=0.013） in the experimental group（8.00%） were lower than those in the conventional group（24.00%） after treatment. The incidence of complications was 16.00% lower than the conventional group ， and the difference between the two groups of patients was statistically significant（χ2=4.762， P=0.029<0.05）. Results  Hysteroscopic surgery can effectively reduce the length of operation and the amount of bleeding during the operation， improve the safety of the operation， reduce the incidence of complications in patients with submucosal uterine fibroids， and will not affect the patient's ovarian function， and shorten the hospital stay， effectively promote the rehabilitation of patients， it is worthy of widespread promotion and application in clinical.

[Key words] Hysteroscopic surgery; Submucosal uterine fibroids; Effect;Incidence of complications

子宫肌瘤是一种女性生殖器临床当中的良性肿瘤[1]，十分常见，在我国育龄期妇女当中大约有20%～25%患有子宫肌瘤，而黏膜下子宫肌瘤在其中占据了10%～15%[2]。该病症患者的临床表现为白带增多、经期出现程度不一的延长[3]，黏膜下子宫肌瘤的体积并不大，但其非常容易引发患者子宫异常出血，对患者的生命安全产生了严重威胁[4]。传统开腹手术对患者造成的创伤较大，且易出现并发症，而近几年发展出现的宫腔镜手术的手术创伤小，出血量较少，且术后并发症出现概率较低，具有更优的治疗效率[5]。該次研究简单随机选取2018年1月—2019年1月在该院住院治疗的100例黏膜下子宫肌瘤患者为研究对象，对宫腔镜手术治疗黏膜下子宫肌瘤患者的效果及并发症发生率进行观察分析，报道如下。……