宫腔镜子宫内膜切除术治疗功能失调性子宫出血效果  

HYSTEROSCOPIC ENDOMETRECTOMY IN THE TREATMENT OF DYSFUNCTIONAL UTERINE BLEEDING

作　　者：滕绍然[1] 赵文翠[1] 王宁[1] 祁秀娟[1] 周淑华[2] 

机构地区：[1]青岛大学医学院附属医院妇科,山东青岛2660031 [2]青岛大学医学院附属医院检验科,山东青岛2660031

出　　处：《青岛大学医学院学报》2007年第4期329-330,332,共3页Acta Academiae Medicinae Qingdao Universitatis

摘　　要：目的探讨宫腔镜子宫内膜切除术(TCRE)治疗功能失调性子宫出血(DUB)的效果。方法选择行TCRE的DUB病人88例,随访手术疗效,并对术中切除的内膜组织进行病理检查。结果术后随访6～50个月,月经改善总有效率为88.6%;术后贫血纠正率为96.3%;病人对手术效果满意率为85.2%;术后症状复发进行再次干预治疗8例,其中2例行二次TCRE,子宫切除3例,药物治疗3例。8例中4例并子宫腺肌症。结论TCRE是治疗DUB安全有效的方法;TCRE对卵巢功能无明显影响;并子宫腺肌症是影响手术远期成功率的主要因素。Objective To evaluate the curative effect and prognosis of hysteroscopic endometrectomy （HE） for dysfunctional uterine bleeding （DUB）. Methods Eighty-eight women with DUB underwent HE were followed up, the operative specimens were studied pathologically. Results Postoperative follow-up was six to 50 months. Overall effective rate of menstruation was 88.6% anemia-correction was 96.3%, and the patients＇ satisfaction rate was 85.2%. Eight cases, in which, four associated with adenomyosis, needed reoperation due to recurrence： two underwent repeated HE, three underwent hysterectomy, three received medical treatment. Conclusion Hysteroscopic endometrectomy is a safe and effective treatment for dysfunctional uterine bleeding, it dose not obviously affect the ovarian function. The main factor that influence the long-term success rate of the operation is the disease having associated with adenomyosis.

关 键 词：宫腔镜检查 子宫出血 治疗结果 

分 类 号：R713[医药卫生—妇产科学]