子宫内膜切除术治疗月经过多100例临床分析

目的 探讨宫腔镜子宫内膜切除术治疗月经过多的手术指征、手术方法及预后。方法 1999年9月至2003年3月应用连续灌流宫腔电切镜，对100例手术指征为保守治疗无效的月经过多，无生育要求，合并粘膜下肌瘤≤5．0cm的患者行子宫内膜切除术，12例同时行子宫粘膜下肌瘤切除术，术后随访3个月至3年。结果 除3例因异常子宫出血行第二次手术切除子宫外，其余97例月经均有所改善，手术成功率97．0％。术后94例无月经，3例为月经点滴状，12例痛经明显改善。结论 子宫内膜切除术可减少或停止月经，切除子宫内膜的同时切除子宫肌瘤，疗效满意。

Transcervical resection of endometrium for menorrhagia:analysis of 100 cases

Objective To study the indication,procedures and prognosis of transcervical resection of the endometrium(TCRE)for treatment of menorrhagia.Methods From September 1999 to March 2003,100 patients with menorrhagia who had failed in medical therapy,without desire of reproduction and with the submucous myoma less than 5^0cm underwent TCRE under hysteroresectoscope.12 cases were performed myomectomy at the same time.All cases were followed up postoperatively for 3 months to 3 years.Results Three of them had a second operation of hysterectomy due to uterine abnormal bleeding.The other 97 were proved to be improved in their menorrhea,giving a success rate of 97^0%.During follow up,94 cases became amenorrhea,3 had only spotting;dysmenorrhea were obviously improved in 12 cases.Conclusion TCRE is an effective procedure in treating menorrhagia and small submucous hysteromyoma.