妇儿健康导刊2024，Vol.3Issue(3)：18-21,4.
B超监视下宫腔镜手术与腹腔镜手术切除Ⅰ型和Ⅱ型粘膜下子宫肌瘤后患者妊娠结局的临床研究
Clinical study of pregnancy outcomes in patients after hysteroscopic surgery under B-ultrasound monitoring versus laparoscopic surgery for resection of type Ⅰ and type Ⅱ submucosal uterine fibroids
摘要
Abstract
Objective To compare the clinical effect of hysteroscopic surgery under B-ultrasound monitoring and laparoscopic surgery in the resection of type Ⅰ and type Ⅱ submucous uterine fibroids.Methods A total of 60 patients with type Ⅰ and type Ⅱ submucous uterine fibroids in Wuyi Traditional Chinese Medicine Hospital of Jiangmen City from May 2021 to September 2022 were selected as the study subjects.All the patients were divided into the control group and the study group according to different operation methods,with 30 cases in each group.The control group received laparoscopic surgery,and the study group received hysteroscopic surgery under B-ultrasound monitoring.The operation related indicators,clinical efficacy,incidence of complications and follow up results were compared between the two groups.Results The intraoperative bleeding of the study group was less than that of the control group,and the surgical time,first time out of bed,first exhaust time and hospitalization time of the study group were shorter than those of the control group,and the score of visual analogue scale at 6 hours after surgery of the study group was lower than that of the control group(P<0.05).There was no statistically significant difference in the effective rate of treatment of type Ⅰ and type Ⅱ submucous uterine fibroids between the two groups(P>0.05).The total incidence of complications in the study group was 3.33% ,which was lower than the 20.00% in the control group(P<0.05).The success rate of pregnancy and term delivery rate in the study group were higher than those in the control group,while the abortion rate and premature delivery rate were lower than those in the control group(P<0.05).Conclusion Compared with laparoscopic surgery,hysteroscopic surgery under B-ultrasound monitoring has better effects,with less pain and faster postoperative recovery,which can improve the pregnancy outcomes of patients undergoing submucous uterine fibroids resection.关键词
B超监视下宫腔镜手术/腹腔镜手术/粘膜下子宫肌瘤/并发症/妊娠成功率Key words
Hysteroscopic surgery under B-ultrasound monitoring/Laparoscopic surgery/Submucous uterine fibroid/Complication/Pregnancy success rate分类
医药卫生引用本文复制引用
张美琼,林秋兰,陈俞儒..B超监视下宫腔镜手术与腹腔镜手术切除Ⅰ型和Ⅱ型粘膜下子宫肌瘤后患者妊娠结局的临床研究[J].妇儿健康导刊,2024,3(3):18-21,4.基金项目
江门市医疗卫生领域科技计划项目(2021YL05005). （2021YL05005）
