当科における子宮鏡下子宮筋腫摘出術の検討

概要

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Objectives: We examined the cases of transcervical resection (TCR) due to uterine submucosal myoma performed in our institution from June 2007 to May 2010.Materials and Methods: TCR was performed in 23 women during this period. Women with uteine submucosal myoma, complaining hypermenorrhea or infertility, were treated by TCR. The excision using forceps extraction took precedence over the resection using loop electrodes of the resectscope. Before the operations, cervical canals were sufficiently dilated using the Laminaria cervical dilators. During forceps extraction, the guides by transabdominal USG were always used simultaneously. Results: In 22 cases among 23 cases, submucous myomas were completely removed. Submucous myomas were removed by forceps extraction alone in 16 cases, by both forceps and loop electrodes in 5 cases, by loop electrodes alone in 2 cases. In one case, a balloon occlusion was needed to be used to stop bleeding during operation. No other complications such as uterine perforation were occurred.Conclusions: TCR with forceps extraction as well as loop electrodes seems to be an useful method.
日本産科婦人科内視鏡学会の論文
2010-12-01