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《Chinese Journal of Obstetrics And Gynecology》 1997-05
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Analysis of 158 Cases of Hysteroscopic Surgery for Hysteromyoma

Feng Limin, Xia Enlan, Duan Huilan, et al. Beijing Fuxing Hospital, Capital University of Medical Sciences, Beijing 100038  
Objective: To treat hysteromyoma by hysteroscopic surgery and to examine the treatment results in relation to the extent of surgery. Methods: 177 patients admitted from May, 1990 to Dec. 1994 for abnormal uterine bleeding caused by hysteromyoma were subjected to transcervical resection of myoma (TCRM) and/or transcervical resection of endometrium (TCRE). Except for 19 patients lost to follow up, 158 patients were closely observed postoperatively. The mean follow up was 29.3 months (range 5 ̄60). These patients were divided into four groups according to the extent of the resected myoma. Analysis was based on 3 categories: the degree of bleeding control, the rate of growth of myoma and the need of subsequent surgery, and the treatment results were grouped into: perfection, satisfaction and dissatisfaction. Results: The growth of myoma and bleeding were controlled in 150 patients (94.9%) after resection. The result was much better than that of abdominal myomectomy. The treatment success of total resection of pediculate submucosal myoma was as high as 100%. If only ≥50% of sessile submucosal myoma and intramural myoma were resected, the results of hysteroscopic surgery were satisfactory although there might be small residual intramural myoma or subserous myoma. Long term follow up showed the residual myomata seemed to have stopped growing. Conclusion: Trans cervical resection is one of the effective treatments for abnormal uterine bleeding in hysteromyoma. Preoperative accuracy in appraisal of the extent of the myoma to be resected may help to correctly predict the prognosis and to improve the surgical cure rate.
【CateGory Index】: R737.33
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【References】
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【Co-references】
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1 CHU Li,ZHANG Jun. Department of Obstetrics and Gynecology,Beijing Anzhen Hospital,Capital Medical University,Beijing 100029,China;Severe hyponatremia caused by hysteroscopic resection of submucous uterine fibroids[J];中国医药;2011-07
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【Secondary References】
Chinese Journal Full-text Database 6 Hits
1 CAI Chunyan;YANG Yanzhen;Yangdong Maternal and Child Health Care Hospital in Yangjiang City;;Comparison of Hysteroscopic Electric Resection and Curettage in the Treatment of Endometrial Polyps Infertility[J];中国医学创新;2017-33
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6 ZHANG Qin;ZHANG Xiurong;GAO Jie;GAO Cuixian;Dalian Gyneccological and Obstetrical Hospital;;Clinical analysis of the therapeutic result of hysteroscopic myomectomy in 178 patients with uterine myoma[J];中国医药科学;2014-10
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