宫腔镜电切术治疗异常子宫出血210例临床分析

目的 探讨宫腔镜电切术治疗功能性子宫出血、子宫内膜息肉、黏膜下子宫肌瘤的临床效果及影响因素.方法 应用连续灌流式宫腔镜对210例异常子宫出血患者进行宫腔镜电切手术治疗,其中62例为子宫内膜切除;6例为肌瘤切除;107例为息肉及部分内膜切除;35例为肌瘤及部分内膜切除.结果 术后随访4～24个月,月经改善193例,改善率为91.9%,其中闭经60例;月经量减少41例;月经周期正常92例,手术无效行子宫切除2例.结论 宫腔镜电切术治疗异常子宫出血疗效好,并发症少.

Clincal Obstervotion of Transcenival Resection of Endometrium an Analysis of 210 Patients With Abnormal Uterine Bleeding

Objective To assess the efficacy and influences of hysteroscopic electrosurgery in treating abnomal uterine bleeding(AUB) Methods 210 women AUB received hysteroscopic transcervical resection of the endometrium or intrauterine lesions with a contious flow resectoscope Results 210 patients were followed for 4 to 24 months.Menstrual symptoms ameliorated in 91.9% of the patieills.60 women became ameworrhoeic;41 women had only spotting;92 women recovered normal peniod.Two patients received hysterectomy later for recurrent utering bleeding. Conclusion Hysteooscopie eletrosurgery is an effective procedure in treating abnowal uterine bleeding.