微创医学2024，Vol.19Issue(5)：497-501,5.DOI:10.11864/j.issn.1673.2024.05.04
超声引导下宫腔镜手术治疗子宫黏膜下肌瘤的临床研究
Clinical research of ultrasound-guided hysteroscopy in the treatment of uterine submucous myoma
摘要
Abstract
Objective To investigate the clinical efficacy and safety of ultrasound-guided hysteroscopy in the treatment of uterine submucous myoma.Methods A total of 100 patients with uterine submucous myoma were selected as research objects,and were divided into an observation group and a control group according to the random number table method,with 50 cases in each group.Patients in the observation group were treated with ultrasound-guided hysteroscopy,while patients in the control group were treated with conventional hysteroscopy.The operation time,intraoperative blood loss,postoperative first ambulation time,hospitalization time,uterine artery hemodynamics index,inflammation index and occurrence of postoperative complications were compared between the two groups.Results There were no statistically significant differences between the two groups in operation time,preoperative minimum end-diastolic blood flow velocity and maximum end-systolic blood flow velocity,pulsation index,and levels of interleukin-6(IL-6),tumor necrosis factor-α(TNF-α)and C-reactive protein(CRP)(all P>0.05).The intraoperative blood loss and hospitalization time of the observation group were less/shorter than those of the control group,while the postoperative first ambulation time was earlier than that of the control group(all P<0.05).After operation,the levels of IL-6,TNF-α and CRP in the two groups were higher than those before operation,and the levels of IL-6,TNF-α and CRP,uterine pulsation index and incidence of complications in the observation group were lower than those in the control group,while the minimum end-diastolic blood flow velocity and maximum end-systolic blood flow velocity of uterine artery were higher than those in the control group(all P<0.05).Conclusion Ultrasound-guided hysteroscopy in the treatment of uterine submucous myoma has the characteristics of good surgical efficacy and low risk,which is helpful for the rapid recovery of patients,and is worthy of further clinical application.关键词
子宫肌瘤/黏膜下肌瘤/宫腔镜/超声引导Key words
Uterine myoma/Submucous myoma/Hysteroscopy/Ultrasound-guided引用本文复制引用
唐银琳,唐艳妮,赖梦云..超声引导下宫腔镜手术治疗子宫黏膜下肌瘤的临床研究[J].微创医学,2024,19(5):497-501,5.基金项目
广西壮族自治区卫生健康委员会自筹经费科研课题(编号:Z-20210387) （编号:Z-20210387）
