Corson S L, Brooks P G
Department of Obstetrics and Gynecology, Pennsylvania Hospital, University of Pennsylvania School of Medicine, Philadelphia.
Fertil Steril. 1991 Jun;55(6):1041-4. doi: 10.1016/s0015-0282(16)54349-0.
To evaluate safety and efficacy of resectoscopic myomectomy for control of menorrhagia, dysmenorrhea, and/or reproductive wastage.
Retrospective consecutive patient follow-up.
Private practice, outpatient, hospital.
All patients (92) having resectoscopic myomectomy between September 1, 1986 and December 31, 1989.
Resectoscopic myomectomy with or without concomitant procedures such as endometrial ablation.
Assessment of dysmenorrhea, menorrhagia, and reproductive outcome after surgery.
Elimination of dysmenorrhea in 24 of 28, absence of menorrhagia in 65 of 80, and pregnancy in 10 of 13 with two abortions in a total of 11 gestations. One patient was admitted and treated with one unit of autologous blood and mechanical tamponade with an intrauterine balloon. Three cases of uterine perforation had no sequelae. One patient had mild endometritis responding to outpatient antibiotics. Two cases of leiomyosarcoma were diagnosed histologically and accounted for two of the three hysterectomies noted during follow-up.
Resectoscopic myomectomy is a safe, effective, and relatively simple outpatient surgical procedure.
评估经宫腔镜子宫肌瘤切除术治疗月经过多、痛经和/或反复流产的安全性和有效性。
回顾性连续病例随访。
私人诊所、门诊、医院。
1986年9月1日至1989年12月31日期间接受经宫腔镜子宫肌瘤切除术的所有患者（92例）。
行或不行诸如子宫内膜切除术等辅助手术的经宫腔镜子宫肌瘤切除术。
评估术后痛经、月经过多及生殖结局。
28例中有24例痛经消失；80例中有65例月经过多症状消失；13例中有10例妊娠，共11次妊娠中有2例流产。1例患者入院，输注1单位自体血，并采用宫腔球囊机械压迫治疗。3例子宫穿孔无后遗症。1例患者发生轻度子宫内膜炎，门诊给予抗生素治疗后好转。经组织学诊断有2例平滑肌肉瘤，占随访期间3例子宫切除病例中的2例。
经宫腔镜子宫肌瘤切除术是一种安全、有效且相对简单的门诊手术。
