宫腔镜电切术治疗异常子宫出血210例临床分析  

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

作　　者：马艳[1] 陈忠东[1] 

机构地区：[1]南华大学第一附属医院,湖南衡阳421001

出　　处：《南华大学学报（医学版）》2007年第1期62-64,共3页Journal of Nanhua University(Medical Edition)

摘　　要：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。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 ameworrheeic; 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.

关 键 词：宫腔镜检查 子宫出血 电外科手术 

分 类 号：R711.52[医药卫生—妇产科学]