宫腔镜手术治疗早期弥漫性子宫平滑肌瘤病56例疗效观察
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【摘要】 目的 探讨宫腔镜手术治疗早期弥漫性子宫平滑肌瘤病（DUL）的疗效。方法 112例早期弥漫性子宫平滑肌瘤病患者， 随机分为对照组和观察组， 每组56例。观察组采取宫腔镜手术治疗， 对照组采取开腹子宫肌瘤剔除术治疗。统计两组患者临床手术效果及治疗后美国国立卫生研究院卒中量表（NIHSS）评分、日常生活能力量表（ADL）评分。结果 观察组患者治疗总有效率为91.1%， 显著高于对照组的76.8%， 差异具有统计学意义（P<0.05）。观察组NIHSS评分低于对照组、ADL评分高于对照组， 差异均具有统计学意义（P<0.05）。结论 宫腔镜手术治疗早期弥漫性子宫平滑肌瘤病的临床效果显著， 能加快患者机体的代谢， 推动神经功能的改善， 增强患者的免疫力， 具有临床推广应用价值。
【关键词】 宫腔镜手术；早期弥漫性子宫平滑肌瘤病；疗效
DOI：10.14163/j.cnki.11-5547/r.2018.05.005
【Abstract】 Objective To discuss the efficacy of hysteroscopic surgery in the treatment of 56 cases of early diffuse uterine leiomyomata （DUL）. Methods A total of 112 patients with early diffuse uterine leiomyomata were randomly divided into control group and observation group， with 56 cases in each group. The observation group was treated with hysteroscopic surgery， and the control group was treated with open myomectomy. Comparison were made on clinical surgical effect， National Institutes of Health Stroke scale （NIHSS） score and activity of daily life （ADL） score between the two groups. Results The observation group had obviously higher total treatment effective rate as 91.1% than 76.8% in the control group， and the difference was statistically significant （P<0.05）. The observation group had lower NIHSS score than the control group and higher ADL score than the control group. Their diffe...
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