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目的:探讨在B超引导下子宫内膜消融术治疗更年期功血的效果。方法:扩张宫颈至6.5号,吸宫,在B超监视下由子宫右前壁始向外刮凝,依次顺时针方向刮凝宫腔2周。结果:治愈31例(60.8%),有效19例(37.3%),好转1例(1.9%),无效0例。结论:电凝刀子宫内膜消融术与其他更年期功血治疗方法相比,消融的范围及深度由B超监视,安全性高,创伤小,不开刀,恢复快,并且治愈率高,更容易在临床上推广。
Objective: To investigate the effect of endometrial ablation under menopause on the treatment of menopause dysfunctional uterine bleeding. Methods: To expand the cervix to No. 6.5, suction Palace, the B-monitor from the right anterior wall of the uterus began to outward coagulation, followed by clockwise curettage of the uterine cavity for 2 weeks. Results: 31 cases (60.8%) were cured, 19 cases (37.3%) were effective, 1 case (1.9%) were improved and 0 case was ineffective. CONCLUSION: Compared with other methods of climacteric dysfunctional uterine bleeding, the scope and depth of ablation are better monitored by B-ultrasound than those treated by climacteric endometrial ablation. It has the advantages of high safety, less trauma, no surgery, faster recovery and higher cure rate In the clinical promotion.