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目的:探讨宫腔镜手术治疗宫颈良性病变的临床应用价值。方法:用宫腔镜手术治疗宫颈良性病变298例。其中,环状锥形切除治疗慢性宫颈炎251例(中度宫颈糜烂83例,重度宫颈糜烂168例);切除宫颈内突肌瘤47例(有蒂肌瘤21例,无蒂肌瘤26例)。术后随访3～31个月。结果:宫腔镜锥形切除治疗手术之后2个月左右,治疗的一次成功率为98.01%。有90.43%左右的患者宫颈恢复到了正常的大小。表面润泽,光滑。患者在宫腔镜切除肌瘤之后的一个月治疗的成功率为100%。38例患者的出血情况得到了有效治疗。结论:宫腔镜锥形电切宫颈治疗慢性宫颈炎治愈率高,操作简便、安全,术后并发症少;宫腔镜电切治疗宫颈内突肌瘤是最佳选择。
Objective: To investigate the clinical value of hysteroscopic surgery for benign cervical lesions. Methods: Hysteroscopic surgery for benign lesions in 298 cases. Among them, the ring taper resection of chronic cervicitis in 251 cases (83 cases of moderate cervical erosion, 168 cases of severe cervical erosion); removal of intraocular leiomyoma 47 cases (21 cases of pedicle myomas, no myomas 26 cases ). The patients were followed up for 3 to 31 months. Results: Hysteroscopic conical resection of the surgical treatment after about 2 months, the success rate of a treatment was 98.01%. About 90.43% of patients with cervical recovery to the normal size. Surface moist, smooth. One month after hysteroscopic resection of fibroids, the success rate of treatment was 100%. Thirty-eight patients were effectively treated for bleeding. Conclusions: Hysteroscopic conization of cervical incision for the treatment of chronic cervicitis high cure rate, simple, safe, less postoperative complications; hysteroscopic electrotomy for the treatment of endocrine leiomyoma is the best choice.