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目的探讨评价子宫黏膜下肌瘤行宫腔电切术的疗效及其安全性。方法 90例子宫黏膜下肌瘤患者,随机分为实验组和对照组,各45例。对照组患者实施子宫肌瘤常规开腹手术,实验组患者实施宫腔电切术。比较两组临床疗效。结果实验组与对照组患者的手术操作时间分别为(57.86±10.35)、(93.52±12.69)min;术后肛门排气功能恢复时间分别为(19.24±5.24)、(34.62±8.56)h;术后下床活动时间分别为(2.01±0.85)、(4.23±0.94)d;术后住院接受恢复治疗时间分别为(5.15±1.17)、(8.68±1.73)d,两组比较,差异均具有统计学意义(P<0.05)。实验组治疗总有效率(91.11%)显著高于对照组(68.89%),差异具有统计学意义(P<0.05)。实验组不良反应发生率为2.22%,显著少于对照组的22.22%,差异具有统计学意义(P<0.05)。结论子宫黏膜下肌瘤行宫腔电切术的临床疗效确切,安全性好,具有较高的应用推广价值。
Objective To evaluate the efficacy and safety of intrauterine resection of uterine fibroids. Methods 90 cases of uterine fibroids patients were randomly divided into experimental group and control group, 45 cases each. Patients in the control group underwent routine laparotomy for uterine fibroids, and patients in the experimental group underwent uterine resection. The clinical efficacy of the two groups were compared. Results The operation time of experimental group and control group were (57.86 ± 10.35) and (93.52 ± 12.69) min, respectively. The recovery time of postoperative anal exhaust function were (19.24 ± 5.24) and (34.62 ± 8.56) h, respectively (2.01 ± 0.85) and (4.23 ± 0.94) d, respectively. The postoperative hospitalization recovery time was (5.15 ± 1.17) and (8.68 ± 1.73) days, respectively. There were statistically significant differences between the two groups Significance (P <0.05). The total effective rate of experimental group (91.11%) was significantly higher than that of control group (68.89%), the difference was statistically significant (P <0.05). The incidence of adverse reactions in the experimental group was 2.22%, which was significantly lower than that in the control group (22.22%), the difference was statistically significant (P <0.05). Conclusion The clinical efficacy of uterine myomectomy undergoing uterine cavity resection is accurate, safe and has a high value of popularization and application.