[1]黎先萍,李娟*,张敏.宫腔镜下子宫黏膜下肌瘤切除不同治疗模式的 对比研究[J].中国计划生育和妇产科,2017,(10):60-62,67.
　LI Xian-ping,LI Juan*,ZHANG Min.Comparative study on different operation mode in transcervical resection of submucosal myoma[J].Chinese Journal of Family Planning & Gynecotokology,2017,(10):60-62,67.
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宫腔镜下子宫黏膜下肌瘤切除不同治疗模式的 对比研究
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2017年10期
页码:
60-62,67
栏目:
论著与临床
出版日期:
2017-10-25

文章信息/Info

Title:
Comparative study on different operation mode in transcervical resection of submucosal myoma
作者:
黎先萍; 李娟*; 张敏
海南省农垦三亚医院妇产科
Author(s):
LI Xian-ping; LI Juan*; ZHANG Min
Department of Obstetrics and Gynecology,Hainan Province Nongken Sanya Hospital, Sanya Hainan 572000,P.R.Chia
关键词:
子宫黏膜下肌瘤; 宫腔镜; 日间手术; 住院手术
Keywords:
uterine submucous myoma; hysteroscopy ; daytime surgery; hospitalization surgery
分类号:
R 713.4
摘要:
目的探讨宫腔镜下子宫黏膜下肌瘤切除不同治疗模式的治疗效果。方法回顾性分析2014年3月至2015年12月因子宫黏膜下肌瘤在海南省农垦三亚医院就诊的患者160例，其中日间手术组80例，住院手术组80例。对患者手术时间、术后不良反应、住院时间、医疗花费、患者满意度及术后1年复发情况进行对比分析。结果两组治疗方式均能使患者月经紊乱情况得以改善，日间手术组比住院手术组住院时间短、医疗花费少、患者满意度高，差异有统计学意义（P<005）。两组手术时间、术后不良反应、术后1年复发率及术后恢复率比较，差异无统计学意义（P>005）。结论日间手术在医疗花费与住院时间上优于住院手术，在临床上可优先考虑。
Abstract:
ObjectiveTo investigate the effect of two different treatment modes，day time surgery and hospital surgery on the therapeutic effect for transcervical resection of uterine submucous myoma. MethodsA total of 160 patients diagnosed with uterine submucous myoma in Hainan Province Nongken Sanya Hospital from March 2014 to December 2015, including 80 patients in the daytime surgery group and 80 patients in the hospitalization surgery group,were selected in retrospective analysis. The operative time, postoperative adverse reactions, hospitalization time, medical expenses, patient satisfaction and 1 year recurrence rate after surgery were observed.ResultsTwo groups of treatment improved the patients' menstrual disorders. Compared with the hospitalization surgry group, the hospitalization time was shorter, the medical expenses were less, the patients' satisfaction was higher in the daytime surgery group, the differences were statistically significant（P<005）. There were no significant differences between the two groups in the operation time, postoperative adverse reactions and 1 year recurrence rate (P> 005). ConclusionDaytime surgery in medical expenses and hospitalization time is better than hospitalization surgery, but in during and postoperative recovery there are no significant differences. Daytime surgery is worthy in clinical promotion.

参考文献/References:

［1］BAIRD D D, DUNSON D B, HILL M C, et al. High cumulative incidence of uterine leiomyoma in black and white women: ultrasound evidence ［J］. American Journal of Obstetrics and Gynecology, 2003, 188(1): 100-107. ［2］高青，陈哲，梁梅英．开腹和腹腔镜下子宫肌瘤切除术后患者妊娠结局临床分析 ［J］．中国妇产科临床杂志，2015，16 （4）：325-328． ［3］ROBERTS L. Day surgery—National and international: From the past to the future ［J］. Ambulatory Surgery, 2006, 12(3): 143-145. ［4］夏恩兰．妇科内镜学 ［M］．北京：人民卫生出版社，2001：142． ［5］缪传文，钟力炜，王理伟，等．不同管理模式在日间手术中的应用实践 ［J］．中国医院管理，2015，35（3）：21-22． ［6］刘洋，马洪升，李志超，等．5 520例日间手术的安全和质量评价 ［J］．中国普外基础与临床杂志，2015，22 （12）：1477-1481． ［7］李龙，王月玲．腹腔镜下子宫肌瘤剔除术与开腹手术的临床疗效对比 ［J］．中国肿瘤临床与康复，2012，19 （4）：363-364． ［8］申爱荣，邹顺鸿．宫腔镜与腹腔镜手术剔除子宫壁间肌瘤临床分析 ［J］．国际妇产科学杂志，2014，41 （5）：522-525．

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更新日期/Last Update: 2017-10-25