摘要
目的 探讨宫腔镜电切术对子宫异常出血的疗效及相关问题。 方法 2 0 0 3年 1月～ 2 0 0 4年 2月因良性疾病引起子宫异常出血的 5 9例行宫腔镜电切术 ,对术中并发症、出血、手术时间及疗效进行回顾性分析。 结果 切除子宫内膜息肉 (TCRP) 2 5例 ,子宫黏膜下肌瘤 (TCRM ) 2 2例 ,子宫内膜删除术 (TCRE) 2例 ,剔除残留胎盘 3例 ,清除人流不全组织物 7例 ;手术平均时间约 3 0min ;术中平均出血约 2 0ml;无并发症发生 ;经术后随访 ,月经量改善率 93 % ,痛经缓解率 68%。 结论 子宫良性病变引起的子宫异常出血经宫腔镜电切术后 ,可以改善月经量 ,缓解痛经 ,恢复子宫正常形态 ,且副反应小 ,治疗彻底 。
Objective To study the effect of hysteroscope on treatment of abnormal uterine hemorrhage. Methods 59 cases of uterine hemorrhage resulted from benign diseases were treated by hysteroscope in our hospital from Jan.2003 to Feb.2004.The complications, operation time, bleeding in operation and effects were analysed. Results Among the 59 cases, 25 cases were transcervical resection of polyp(TCRP) , 22 cases transcervical resection of myoma( TCRM) , 2 cases transcervical resection of endometrium ( TCRE) , 3 cases transcervical resection of placenta, 7 cases transcervical resection of gestation's organization. The average operation time was 30 minute, and the average bleeding in operation was 20 ml. No complication had occurred. Postoperative menstruation amelioration rate was 93%, and the rate of dysmenorrhoea alleviation was 68%. Conclusions Hysteroscope is effective for uterine hemorrhage resulted from benign disease. It applies to the patients who cannot tolerance surgical operation but want womb remained especially.
出处
《浙江临床医学》
2005年第3期246-247,共2页
Zhejiang Clinical Medical Journal
