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目的 探讨子宫内膜切除术治疗功能失调性子宫出血的疗效、预后及影响因素。 方法 选择有手术指征的功能失调性子宫出血患者 38例 ,使用被动式连续灌流电切镜行子宫内膜切除术 ,术前均予宫颈准备和机械性子宫内膜预处理。 结果 手术均顺利完成 ,术后随访 3~ 2 0个月 ,月经改善总有效率为 92 .1%。 结论 子宫内膜切除术可以有效改善月经情况。术前机械性子宫内膜预处理可薄化子宫内膜 ,保证子宫内膜切除的手术效果
Objective To investigate the curative effect, prognosis and influencing factors of endometrial ablation for dysfunctional uterine bleeding. Methods Thirty-eight patients with dysfunctional uterine bleeding who had surgical indications were selected. The patients underwent endoscopic resection with passive continuous-flow electrotomy and were treated with cervical preparation and mechanical endometrial preoperatively. Results The operation was successfully completed. The follow-up period was 3 to 20 months. The total effective rate of menstruation improvement was 92.1%. Conclusion Endometrial resection can effectively improve the menstrual status. Preoperative mechanical endometrial pretreatment can thin the endometrium, to ensure the surgical results of endometrial resection