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目的探讨宫腔镜子宫内膜切除术治疗功能失调性子宫出血的疗效。方法2004年2月～2006年12月选择有手术指征、无生育要求,已排除恶性病变的功能失调性子宫出血患者50例,在B超引导下行宫腔镜子宫内膜电切术。结果手术均顺利完成,手术时间20～40分钟,无副反应发生,住院2～3天。术后3个月随访,治愈率96%(48/50)。好转4%(2/50)。43例术前合并贫血者,术后42例恢复正常,纠正贫血有效率为97.7%。结论宫腔镜子宫内膜切除术治疗功能失调性子宫出血具有疗效好,创伤小,恢复快等优点,不影响卵巢功能,避免了子宫切除。
Objective To investigate the efficacy of hysteroscopic endometrial ablation in the treatment of dysfunctional uterine bleeding. Methods From February 2004 to December 2006, 50 patients with functional dysfunctional uterine bleeding who had no fertility requirements and no malignant disease were selected and underwent Hysteroscopic endometrial resection guided by B-ultrasound. Results The operation was successfully completed, operation time 20 to 40 minutes, no side effects, hospitalization 2 to 3 days. After 3 months of follow-up, the cure rate was 96% (48/50). Improved 4% (2/50). Forty-three patients with anemia were preoperatively and 42 cases returned to normal after operation. The effective rate of correcting anemia was 97.7%. Conclusion Hysteroscopic endometrial ablation for treatment of dysfunctional uterine bleeding has the advantages of good curative effect, small trauma and fast recovery without affecting ovarian function and avoiding hysterectomy.