Hysteroscopic surgery in the treatment of submucosal myoma.
DUAN Hua.
Chinese Journal of Practical Gynecology and Obstetrics ›› 2016, Vol. 32 ›› Issue (2) : 123-126.
Hysteroscopic surgery in the treatment of submucosal myoma.
Abstract:Submucosal myoma is the main gynecological disease, which urges women at reproductive age to seek clinical treatment, because it is more likely to affect women's menstrual cycle and pregnancy due to its special growth pattern. With the development of endoscopic techniques, transcervical resection of myoma (TCRM) has replaced traditional laparotomy and laparoscopic surgery, and has become the standard treatment method for submucous myoma. A comprehensive understanding of submucosal myoma, and accurate grasp of the indications, perioperative management principles and surgical skills of TCRM are the keys to ensure the safety and success of the surgery. This paper focuses on the classification ofsubmucous myoma, the indications of TCRM, perioperative preparation, surgery steps and skills, treatment effects and operation notes of TCRM.
[1] Day BD，Dunson DB，Hill MC，et al.High cumulative incidence of uterine leiomyoma in black and white women：ultrasound evidence[J].Am J Obstet Gynecol，2003，188(1)：100-107.
[2] Parker WH.Etiology，symptomatology，and diagnosis of uterine myomas[J].Fertil Steril，2007，87(4)：725-736.
[3] 中华医学会妇产科分会妇科内镜学组.妇科宫腔镜诊治规范[J].中华妇产科杂志，2012, 47(7): 555-558.
[4] Muzii L，Boni T，Bellati F，et al.GnRH analogue treatment before hysteroscopic resection of submucous myomas：a prospective，randomized，multicenter study[J].Fertil Steril，2010，94(4)：1496-1499.
[5] Mencaglia L，Tantini C.GnRH agonist analogs and hysteroscopic resection of myomas[J].Int J Gynaecol Obstet，1993，43(3)：285-288.
[6] Zhang Y，Sun L，Guo Y，et al.The impact of preoperative gonadotropin-releasing hormone agonist treatment on women with uterine fibroids：a meta-analysis[J].Obstet Gynecol Sur，2014，69(2)：100-108.
[7] Tan YH，Lethaby A.Pre-operative endometrial thinning agents before endometrial destruction for heavy menstrual bleeding[J].Cochrane Database Syst Rev,2013，11：CD010241.
[8] 段华. 微创妇科全真手术[M].南京：江苏科技出版社，2008：6-12.
[9] Mazzon I，Favilli A，Grasso M，et al.Is cold loop hysteroscopic myomectomy a safe and effective technique for the treatment of submucous myomas with intramural development?A series of 1434 surgical procedures[J].J Minim Invasive Gynecol，2015，22(5)：792-798.
[10] Capmas P，Levaillant JM，Fernandez H.Surgical techniques and outcome in the management of submucous fibroids[J].Curr Opin Obstet Gynecol，2013，25(4)：332-338.
[11] Zayed M，Fouda UM，Zayed SM，et al.Hysteroscopic myomectomy of large submucous myomas in a 1-step procedure using multiple slicing sessions technique[J].J Minim Invasive Gynecol，2015[Epub ahead of print].
[12] Shokeir TA.Hysteroscopic management in submucous fibroids to improve fertility[J].Arch Gynecol Obstet，2005，273(1)：50-54.
（2015-12-20收稿）
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