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首页> 外文期刊>Journal of gynecologic surgery >Results of Hysteroscopic Myomectomy for the Treatment of Abnormal Uterine Bleeding: A Retrospective Study
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Results of Hysteroscopic Myomectomy for the Treatment of Abnormal Uterine Bleeding: A Retrospective Study

机译：宫腔镜肌瘤切除术治疗异常子宫出血的结果：回顾性研究

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Objective: The aims of this study were to establish surgical reintervention rate and patient satisfaction after hysteroscopic myomectomy and to identify predictive factors for surgical reintervention. Materials and Methods: This was a single-center retrospective cohort study of 104 women undergoing hysteroscopic myomectomy with a bipolar resectoscope for the treatment of abnormal uterine bleeding (AUB) between January 2010 and December 2012. The primary outcome of this study was need for surgical reintervention because of recurrence of AUB. Univariate and multivariate Cox regression analyses were performed to identify predictive factors for surgical reintervention.Results: The mean follow-up was 30.7 months (range: 1-56 months). Surgical reintervention was performed in 32 women (30.8%). Seventeen women (16.3%) underwent hysterectomy. The patient satisfaction rate was 68.1%, and 75.6% of the women stated that their AUB was reduced after surgery. In the univariate analysis, presence of intramural fibroids, fibroid size >30 mm, and incomplete resection were significantly associated with the risk of surgical reintervention. In the multivariate analysis, presence of intramural fibroids remained significantly correlated with the risk of surgical reintervention. The complication rate was 5.1%.Conclusion: This study showed that hysteroscopic myomectomy is an effective procedure to treat AUB. Women with coexistent intramural fibroids should be counseled that there is a higher risk of surgical reintervention.
机译：目的：本研究的目的是建立宫腔镜心肌切除术后的手术重新入住率和患者满意度，并确定手术重新营养的预测因素。材料和方法：这是一个单中心回顾性队列队列，对104名宫宫颈切除术治疗2010年1月至2012年1月至12月之间的双极传火（AUB）进行宫腔镜切除术治疗。本研究的主要结果是需要手术由于Aub的复发而重复。进行单变量和多变量COX回归分析以确定外科手术的预测因素。结果：平均随访时间为30.7个月（范围：1-56个月）。在32名女性（30.8％）中进行外科手术重新营养。 17名妇女（16.3％）接受了子宫切除术。患者的满意度为68.1％，75.6％的女性表示，手术后它们的AUB减少。在单变量分析中，对胎虫肌瘤，肌瘤尺寸> 30mm的存在显着与外科再生的风险显着相关。在多变量分析中，与外科手术的风险显着相关，抗脉络膜的存在仍然显着相关。并发症率为5.1％。结论：该研究表明，宫腔镜肌瘤切除术是治疗Aub的有效方法。共存的intramural肌瘤的女性应咨询，即外科手术风险较高。

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