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热球系统、热水循环系统内膜去除术与经宫颈子宫内膜电切术治疗功能性子宫出血的比较
引用本文:邱湘伊,李晶华,郑杰,朴贞华,王秀芬,姜晶. 热球系统、热水循环系统内膜去除术与经宫颈子宫内膜电切术治疗功能性子宫出血的比较[J]. 腹腔镜外科杂志, 2008, 13(5)
作者姓名:邱湘伊  李晶华  郑杰  朴贞华  王秀芬  姜晶
作者单位:1. 青岛经济技术开发区第一人民医院,山东,青岛,266555
2. 青岛崂山妇幼保健院
3. 首都医科大学附属北京复兴医院
摘    要:
目的:比较热球系统、热水循环系统内膜去除术与经宫颈子宫内膜电切术治疗功能性子宫出血的疗效。方法:功能性子宫出血患者60例,3种术式各20例,术后随访12个月。比较3种术式的有效率、手术时间、并发症发生率和术后恢复情况等。结果:3种术式疗效两两比较差异无统计学意义(P>0.05),手术有效率分别为90%、87%、85%。热球系统和热水循环系统的手术时间及术中出血量明显少于宫腔镜子宫内膜电切术(P<0.05),热球系统与热水循环系统比较无明显差异。热球系统及热水循环系统均无并发症发生,术后患者康复快,经宫颈子宫内膜切除术1例发生并发症,1例失败。3种术式术后阴道排液时间无显著性差异。结论:热球系统治疗功能性子宫出血安全、有效,操作简单,患者痛苦轻,康复快,值得推广。

关 键 词:功能性子宫出血  热球系统  热水循环系统  宫腔镜检查  子宫内膜切除术

Thermal uterine balloon system hydrothermo-ablation and hysteroscopic endometriectomy for treatment of dysfunctional uterine hemorrhage
QIU Xiang-yi,LI Jing-hua,ZHENG Jie,et al.. Thermal uterine balloon system hydrothermo-ablation and hysteroscopic endometriectomy for treatment of dysfunctional uterine hemorrhage[J]. Journal of Laparoscopic Surgery, 2008, 13(5)
Authors:QIU Xiang-yi  LI Jing-hua  ZHENG Jie  et al.
Affiliation:QIU Xiang-yi1,LI Jing-hua2,ZHENG Jie3,et al.1.Dept.of Obstetrics , Gynecology,the First People's Hospital of Qingdao Economic , Technological Development Area,Qingdao 266555,China,2.Laoshan Maternity , Children Health Hospital,3.Fuxing Hospital of Capital Medical University
Abstract:
Objective:To compare the curative effect of a thermal uterine balloon system(UBT) with hydrothermo-ablation(HTA),transcervical endometriectomy(TCE) for treatment of dysfunctional uterine hemorrhage(DUH).Methods:Sixty cases with dysfunctional uterine hemorrhage were divided into three groups averagely and were treated by one experienced gynaecological surgeon .One group was given uterine balloon therapy and the others two groups received hydro thermo-ablation and hysteroscopic endometrectomy respectively.Six...
Keywords:Uterine hemorrhage  Thermal uterine balloon system  Hydrothermo-ablation  Hysteroscopy  Endometrectomy  
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