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目的探讨宫腔镜电切术治疗异常子宫出血的临床疗效。方法回顾性分析2003年3月~2005年5月在我院经宫腔镜电切术治疗的48例因功能失调性子宫出血、子宫内膜息肉、粘膜下子宫肌瘤所致异常子宫出血患者,分析其术后有效率、并发症情况和随访结果。结果48例患者中44例治疗有效,总有效率为91.67%。其中功能失调性子宫出血、子宫内膜息肉和粘膜下子宫肌瘤患者术后有效率各为94.12%(16/17)、95.83%(23/24)和71.43%(5/7),所有病例术后住院时间均≤5d,无明显并发症发生。结论宫腔镜电切术治疗异常子宫出血具有创伤小、术后恢复快、手术并发症少等优点,值得在临床推广使用。
Objective To investigate the clinical efficacy of hysteroscopic electrotomy for the treatment of abnormal uterine bleeding. Methods Retrospective analysis of 48 cases of dysfunctional uterine bleeding, endometrial polyps, submucosal uterine fibroids caused by abnormal hysterosalpingography in our hospital from March 2003 to May 2005 were retrospectively analyzed. , Analyze the postoperative efficiency, complications and follow-up results. Results Of the 48 patients, 44 were effective and the total effective rate was 91.67%. The effective rates of dysfunctional uterine bleeding, endometrial polyps and submucosal uterine fibroids were 94.12% (16/17), 95.83% (23/24) and 71.43% (5/7), respectively. All cases After hospital stay ≤ 5d, no significant complications. Conclusion Hysteroscopic resection of the treatment of abnormal uterine bleeding has the advantages of less trauma, faster recovery and fewer complications, which is worthy of clinical application.