Gleich P
Section of Urology, St. Paul-Ramsey Medical Center, Minnesota.
Urol Clin North Am. 1990 Feb;17(1):59-62.
As a surgical option, transcervical resection of uterine myomas is in the early stages of development. Although promising and a logical extension of the increasing reliance on hysteroscopy in gynecology, the comparison with the surgical standards of care for myomas (hysterectomy and hysterotomy) remains incomplete. The safety of the procedure, in the hands of a skillful resectionist, should be equivalent to that of a transurethral prostatectomy or bladder tumor resection. Postoperative management remains anecdotal, however, as the value of perioperative antibiotics, uterine stenting, or the administration of hormones to promote uterine healing has not been established.
作为一种手术选择，经宫颈子宫肌瘤切除术尚处于发展初期。尽管该手术前景广阔，且是妇科越来越依赖宫腔镜检查的合理延伸，但与子宫肌瘤的标准手术治疗方法（子宫切除术和子宫切开术）相比，仍存在不足。在技术娴熟的手术医生操作下，该手术的安全性应与经尿道前列腺切除术或膀胱肿瘤切除术相当。然而，术后管理仍缺乏循证依据，因为围手术期使用抗生素、子宫支架置入或使用激素促进子宫愈合的价值尚未确定。
