宫腔镜下双极汽化治疗月经过多临床观察

目的观察宫腔镜下双极汽化治疗月经过多的临床效果。方法月经过多患者40例,≥45岁为第一组,行双极汽化子宫内膜去除术;35～45岁为第二组,根据患者月经量过多程度行双极汽化去除1/3～4/5子宫内膜。结果第一组10例中8例闭经治愈,2例好转;第二组30例中28例治愈,2例好转。两组有效(治愈+好转)率均为100%。结论宫腔镜下双极汽化治疗月经过多是一种简单、快速、安全、经济、有效的微创手术方法。对围绝经期月经过多患者采用第一组治疗方案可达到闭经、可保留子宫且经济,避免开刀之苦;对年龄较轻月经过多患者采用第二组治疗方案可达到减少过多经量且保留子宫及恢复正常月经的效果。

Clinical study on treatment of menorrhagia by hysteroscopy with bipolar vaporization

Objective To observe the clinical effect of treatment of patients with menorrhagia by hysteroscopy with bipolar vaporization.Methods Forty cases of dysfunctional uterine bleeding were allocated into 2 groups,patients with age ≥45 yr were in group I and patients with age at 35~45 yr were allocated into group II.Uterine endometrium was removed by bipolar vaporization.Among them,1/3~4/5 uterine endometrium had been removed by bipolar vaporization according to degree of menorrhagia in patients.Results The rate of amenorrhea in patients of group I was 80.00%（8/10）,the rate of resumption to regular menstruation or less than regular menstruation in patients of group II was 93.33%（28/30）,and the rate of menstrual bleeding being improved but still less than before treatment was 6.67%（2/30）.Conclusion Hysteroscopy with bipolar vaporization is a simple,rapid,safe,economic,effective and minimally invasive procedure for operation in treatment of menorrhagia.The perimenopausal menorrhagia can achieve amenorrhea,it is important in preserving the uterus and to avoid the pain of surgery with treatment in group I.Patients with younger age of menorrhagia can reduce the bleeding by preserving the uterus and normal menstruation with procedures in group II.