热球子宫内膜去除术与宫腔镜内膜电切术治疗围绝经期功血的临床研究.pdfVIP

邓春霞等 热球子宫内膜去除术与宫腔镜 内膜电切术治疗 围绝经期功血的临床研究 第36期 ·5815· 热球子宫内膜去除术与宫腔镜 内膜电切术治疗围绝经期功血的临床研究 邓春霞 苏 光 高立亚 北京市垂杨柳医院妇产科 (北京) 100022 中国图书分类号 R711．77 文献标识码 B 文章编号 1001-4411(2011)36-5815-02 摘【 要】 目的：探讨热球子宫内膜治疗仪治疗围绝经期功能失调性子宫出血 (简称功血)的临床疗效。方法：以52例 经热球子宫内膜去除术治疗的围绝经期功血患者为观察组，50例经宫腔镜子宫内膜电切术治疗的患者为对照组 ，对两组的手术 时间、术中出血量及临床疗效进行比较。结果 ：观察组的手术时间明显短于对照组 (15．5±2．8minVS21．6±3．6min)，术中出 血量少于对照组 (12．3±5．7mlVS22．8±7．6m1)，两组比较差异均有统计学意义 (P0．01)；观察组总有效率为98．1％，对照 组总有效率为92．0％，差异无统计学意义 (P0．05)；观察组术后无月经及点滴量月经率明显高于对照组 (P0．01)。结论： 热球子宫内膜去除术治疗围绝经期功血疗效确切，并发症少，是一种安全、简便、有效的方法。 【关键词】 热球 子宫内膜去除术 功能失调性子宫出血 Clinicalstudy on climactericdysfunctionaluterine bleeding treated with thermal balloonendometrialablationandhysteroscopicendometrialelectroresection DENGChun—Xia，SUGuang，GAOLi—Ya．DepartmentofGynecologyandObstetrics，BeringChuiyangliuHospital， B4iing100022。China [Abstract] Objective：Toexploretheclinicalcurativeeffectofthermalballoonendometrialablationintreatmentofpatientswiht climactericdysfunctionaluterinebleeding．Methods：52patientswithclimactericdysfunctionaluterinebleedingwhoweretreatedwithther- malballoonendometrialbalationwereselectedasobservationgroup，and50patientswithclimactericdysfunctionaluterinebleedingwhowere treatedwithhysteroscopicendometrial electroresectionwereselectedascontrolgroup，theoperationtimes，theamountsofbloodlossduring operationandclinicalcurativeeffectsinthetworgoupswerecompared．Results：Theoperationtimeinobservationgroup[(15．5±2．8)mi- nutes]wassignificantlyshorterthanthatincontrolgroup[(21．6±3．6)minutes](P0．01)．Theamountofbloodlossduringoperation inobservationgroup[(12．3±5．7)m1]wasfewerthanhtatincontrolrgoup[(22．8±7．6)m1](P0．O1)．Thetotaleffectiverates inobservationga~oupandcontrolgroupwere98．1％ and92．0％，respectively，therewasnosignificantdifferencebetweenthetworgoups(P 0．05)；Theincidencesofameno~heaandspottinginobservationrgoupweresingificantlyhigherthanthoseincontrolgroup(P0．01)． Conclusion：Theclinicalcurati