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目的探讨宫腔镜下子宫黏膜下肌瘤电切术后的并发症及其预防措施。方法回顾性分析120例宫腔镜下Ⅱ型子宫黏膜下肌瘤电切术主要并发症发生情况,探讨预防措施。结果宫腔镜下Ⅱ型子宫黏膜下肌瘤电切术并发症总发生率为7.50%(9/120)。其中,TURP综合征4.17%,子宫穿孔0.83%,术后出血1.67%,感染0.83%;无空气栓塞发生。结论该组宫腔镜下Ⅱ型子宫黏膜下肌瘤电切术的常见并发症主要是TURP综合征,其次为子宫穿孔、术后出血和感染。做好充分术前准备和严格规范手术操作是预防并发症的主要措施。
Objective To investigate the complications after hysteroscopic submucous myomectomy and its preventive measures. Methods A retrospective analysis of 120 cases of hysteroscopic submucosal uterine fibroids resection of the major complications of the situation, to explore preventive measures. Results The total complication rate of hysteroscopic type Ⅱ uterine submucosal myomectomy was 7.50% (9/120). Among them, TURP syndrome 4.17%, uterine perforation 0.83%, postoperative bleeding 1.67%, infection 0.83%; no air embolism. Conclusion The common complications of hysteroscopic type Ⅱ uterine submucosal myomectomy are TURP syndrome, followed by uterine perforation, postoperative bleeding and infection. Adequate preoperative preparation and strict norms of surgical operations are the main measures to prevent complications.