Liu Mu-biao, He Yuan-li, Zong Li-li, Yang Fang
Department of Obstetrics and Gynecology, Zhujiang Hospital, First Military Medical University, Guangzhou 510282, China.
Di Yi Jun Yi Da Xue Xue Bao. 2004 Apr;24(4):467-9.
To review our experience with hysteroscopic electroresection in the treatment of uterine benign lesions.
We conducted a retrospective analysis of 775 cases of hysteroscopic surgery in view of the operation time, blood loss, complications and prognosis.
The average operation time was 26.5+/-12.3 min and average blood loss 40.1+/-10.5 ml. The outpatients (n=539) were discharged 2 h after operation while the inpatients stayed for 2 or 3 d. Hyponatremia occurred in 1 case, and no death, uterine perforation or electric injury was recorded. During the follow-up for 3 months to 6 years, bleeding relapsed in 17 cases after transcervical resection of the endometrium, and the amenorrhea rate was 88.9%. The recurrence rate of endometrial polyp was 5.5% after electroresection of polyps. Menstruation as normal in all the cases after transcervical resection of the myoma. The uterine cavity became morphologically normal after transcervical resection of the septum without adhesions in the cavities. Improvement of menstruation was achieved in 55 cases (96.5%) after transcervical resection of the adhesion. A patient undergoing transcervical resection of the cervical lesion developed uterine and cervical adhesion 4 months later.
For the patients with intrauterine benign diseases, hysteroscopic electroresection provides effective therapeutic options for lessening the invasive injury and decreasing the complications and blood loss.
回顾我们应用宫腔镜电切术治疗子宫良性病变的经验。
我们对775例宫腔镜手术病例进行回顾性分析，观察手术时间、出血量、并发症及预后情况。
平均手术时间为26.5±12.3分钟，平均出血量为40.1±10.5毫升。门诊患者（n = 539）术后2小时出院，住院患者住院2或3天。发生低钠血症1例，无死亡、子宫穿孔或电损伤记录。在3个月至6年的随访中，子宫内膜切除术后有17例复发出血，闭经率为88.9%。息肉电切术后子宫内膜息肉复发率为5.5%。子宫肌瘤切除术后所有病例月经均恢复正常。子宫纵隔切除术后子宫腔形态恢复正常，腔内无粘连。宫腔粘连切除术后55例（96.5%）月经改善。1例宫颈病变切除术后患者4个月后发生子宫和宫颈粘连。
对于子宫良性疾病患者，宫腔镜电切术为减轻侵袭性损伤、减少并发症和出血量提供了有效的治疗选择。
