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《National Medical Frontiers of China》 2010-18
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Experimental research of the indication and security of hysteroscopy electrocution to type Ⅱ submucous myomas

QIN Yujing,WANG Xiao-lei,SONG Xiao-hui,et al.Maternity and Child Healthcare Hospital of Weihai,Weihai 264200,China  
Objective To investigate the indication and security of hysteroscopy electrocution to type Ⅱ submucous myomas.Methods analyze 82 patients of submucous myomas,would be divided into three groups(A,B,C),according to the depth of myoma infiltrating into muscular layer,the size of the myomas,the Retrospectively location of myomas,the ratio of myomatous basilar part to the uterine wall,the distance of myomatous fringe to uterine ectoptygma.All the patients would be treated by hysteroscopy electrocution under the ultrasound monitoring.Results There were 65 cases in group A,which be cured once.The operation successful ratio was 100%.The average time of the operation was 37.2 which min(10-95min).The hemorrhage quantity was 15-100ml,the average of which was 40ml.There were 14 cases in group B,in which 8 cases were cured once.The operation successful ratio was 57.1%.The average time of the operation was 45.6 min(30-125min).The hemorrhage quantity was 45-180ml,the average of which was 90ml.There were 3 cases in group C,which be cured by myomectomy through opening the abdominal cavity because the hysteroscopy electrocution was failed.The operation time of group B was longer than that of group A(P0.01).The hemorrhage quantity of group B was much more than that of group A(P0.05).Conclusions The hysteroscopy electrocution was secure and feasible to cure type II submucous myomas.We should evaluate the surgical difficulty and the indication in order to minimize the risk of operation.
【CateGory Index】: R737.33
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