Malek-mellouli Monia, Ben Amara Fethi, Youssef Atef, Mbarki Manel, Reziga Hedi
Universite Tunis El Manar, Tunisie.
Tunis Med. 2012 Jun;90(6):458-62.
Hysteroscopic resection of submucous myomas is a safe alternative to conventional surgery.
To evaluate the anatomical and functional results of endoscopic resection of submucous myomas and to present the principle complications of this technique.
This is a retrospective study performed in the department "B" of gynecology and obstetrics in maternity center of Tunis "La Rabta". It analyzes a series of 105 hysteroscopic resections of intracavitary fibroids during a period of 8 years from January 2003 to December 2010.
The mean age of our patients was 41 years and 5 months. The most frequently reason for consultation was the disorder of the menstrual cycle type of menometrorrhagia (47.6%), menorrhagia (22.8%) and postmenopausal bleeding (11.4%). Preoperative assessment of the fibroid was based on transvaginal ultrasound in all cases associated with diagnostic hysteroscopy in 51.4% of cases and with hydrosonography in 28.6% cases. The mean size of the fibroid was 3.08 cm. Type 0 myomas represented 42.8% of cases. The most frequent emplacement of the myoma was the anterior surface of the uterus (44.7%). After surgery, the resection was considered as complete in 88 patients (83.8%), partial in 17 patients (16.2%) requiring a second operation. The functional result was good with disappearance of bleeding symptoms in 90% of cases after a mean follow up of 17 months.
Hysteroscopic resection of sub mucosal fibroids is a technique that respects the uterine cavity with satisfactory functional results and low morbidity.
宫腔镜下黏膜下肌瘤切除术是传统手术的一种安全替代方法。
评估内镜下黏膜下肌瘤切除术的解剖学和功能学结果，并阐述该技术的主要并发症。
这是一项在突尼斯“拉巴塔”妇产中心妇产科B科室进行的回顾性研究。分析了2003年1月至2010年12月8年间的105例宫腔镜下宫腔内肌瘤切除术病例。
患者的平均年龄为41岁零5个月。最常见的就诊原因是月经周期紊乱，如月经过多（47.6%）、经量过多（22.8%）和绝经后出血（11.4%）。所有病例均基于经阴道超声进行肌瘤的术前评估，51.4%的病例联合诊断性宫腔镜检查，28.6%的病例联合超声造影检查。肌瘤的平均大小为3.08厘米。0型肌瘤占病例的42.8%。肌瘤最常见的位置是子宫前壁（44.7%）。手术后，88例（83.8%）患者的切除被认为是完整的，17例（16.2%）患者的切除为部分切除，需要二次手术。平均随访17个月后，90%的病例出血症状消失，功能结果良好。
宫腔镜下黏膜下肌瘤切除术是一种尊重子宫腔的技术，功能结果令人满意，发病率低。
