Murakami Takashi, Tamura Mitsutoshi, Ozawa Yuka, Suzuki Haruka, Terada Yukihiro, Okamura Kunihiro
Department of Obstetrics and Gynecology, Tohoku University Graduate School of Medicine, Sendai, Japan.
J Obstet Gynaecol Res. 2005 Jun;31(3):216-23. doi: 10.1111/j.1447-0756.2005.00274.x.
Hysteroscopic myomectomy is regarded as the best treatment for patients with submucous myomata. However, this procedure has a number of associated complications, including uterine perforation, cervical laceration, hyponatremia and hemorrhage, especially in cases of sessile submucous myomata. To avoid these problems, it is important to make well-advised preparations and manipulations both pre- and intraoperatively. The main surgical considerations for safe hysteroscopic myomectomy are shortening the operating time and avoiding cutting too deeply into the myometrium. With these requirements in mind, a combination of techniques using vaporization and a powerful oxytocic agent, such as prostaglandin F-2alpha, appears to be the safest method of carrying out hysteroresectoscopy for unpedunculated sessile submucous myomata.
宫腔镜子宫肌瘤切除术被认为是黏膜下肌瘤患者的最佳治疗方法。然而，该手术有许多相关并发症，包括子宫穿孔、宫颈裂伤、低钠血症和出血，尤其是在无蒂黏膜下肌瘤的情况下。为避免这些问题，在术前和术中进行明智的准备和操作非常重要。安全进行宫腔镜子宫肌瘤切除术的主要手术考虑因素是缩短手术时间并避免过深切入肌层。考虑到这些要求，使用汽化技术和强效宫缩剂（如前列腺素F-2α）的联合技术似乎是对无蒂无柄黏膜下肌瘤进行宫腔镜电切术的最安全方法。
