|
KMID : 0386019960080010036
|
|
Korean Journal of Gynecology Endoscopy and Minimally Invasive Surgery
1996 Volume.8 No. 1 p.36 ~ p.41
|
|
|
Hysteroscopic Management of Intrauterine Lesions
|
|
최도영/Choi, DY
신승철/한정렬/유은희/고창원/손일표/박인서/Shin, SC/Han JY/Yoo, EH/Ko, CW/Son, IP/Park, IS
|
|
|
Abstract
|
|
|
There are endometrial lesions such as submucosal myoma and polyp which cause abnormal uterine. bleeding, menorrhagia, repeated pregnancy loss, and infertility. Diagnosis and treatment of these endometrial lesions has been traditionally depended upon hysterosalpingography, curettage, hormonal therapy, and hysterectomy.
After Neuwirth et al reported first treatment of submucosal -myoma using urologic resec toscope, there is a striking change in the treament of endometrial lesion using resectoscope by development of uterine distension media and remarkable advancement of gynecologic resectoscope.
We have performed 53 resectoscopic surgery in 50 patients with endometrial lesions from February 1994 to April 1995. The indications were abnormal uterine bleeding and menorrhag a in 37 patients : suspicious endometrial lesions by transvaginal sonogram in 9 patients and infertility and repeated pregnancy loss in 4 patients. The pathologic diagnoses were myoma in 34 patients, endometrial polyp in 14 patients, polypoid adenomyoma and leiomyosarcoma in 1 patients respectively. Abnormal uterine bleeding and menorrhagia was controlled in 38 of the 44 patients(86%). 2 of the 4 infertility and recurrent abortion patients(50%) delivered live-born infants. Two patients had subsequent abdominal myomectomy and one patient of leiomyosarcoma was diagnosed histologically had abdominal hysterectomy. One case of uterine perforration had no sequelae. One patients was treated with blood transfusion. Two patients had mild endometritis responding to outpatient antibiotics.
In conclusion, resectoscopic surgery is safe and effective alternatives to classical surgical hysterectomy and myomectomy for endometrial lesions.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|