致异常子宫出血的安全性及疗效分析.pdfVIP

· 1114· ModDiagnTreat 现代诊断与治疗 2012 Sept23(8) 宫腔镜电切术治疗子宫内膜息肉致异常子宫出血的安全性及疗效 分析 李 静，马小娟 ，史宁芳(银川市妇幼保健院妇科，宁夏银川750001) Safety and Effi cacyAnalysisofHysteroscopicElectrosurgery Treating AbnormalUterineBleedingCausedbyEndometrialPolyps LIJing，MAXiao—juan，SHINing—fang(DepartmentofGynecology,MaternalandChildHealthHos— pitalofYinchuanCity,Ningxia750001，China) Abstract：Objective Toanalysisofthesafetyandefficacyofhysteroscopieeleetrosurgerytreatingab- normaluterinebleedingcausedbyendometrialpolyps．Method 42casesofabnormaluterinebleeding causedbyendometrialpolypsunderwenthysteroscopicelectrosurgeryinourhospitalfrom March2010 to2011asTURP group．42 patientspositionedcurettageafterhysteroscopicforthesameperiod as curettagegroup．42 patientstaken endometrialpolyp excision underhysteroscopicasabstractsurgery group．Allpatientswerefollowedupfor3-12monthstoobservetheeffectsandrelapserates．Results In transurethralresection group，markedlyeffective in 25 cases，effectivein 16 cases，totaleffectiverate was97．62％．In enucleationgroup，markedlyeffectivein 13 cases，effectivein21cases，totaleffective ratewas80．95％．Incurettagegroup，markedlyeffectivein 12cases，effectivein21cases，totaleffective ratewas78．57％．Totalefficiencyintransurethralresectiongroupwassignificantlyhigherthanthe enu— cleationgroupandcurettagegroup．Whiletherecurrencerateintransurethralresectiongroupwassignif- icandylowerthanothergroups．Thedifferencebetweengroupswassignificantf：0．05)．Conclusion The effectofhysteroscopicelectrosurgery treatingabnormaluterinebleedingcausedbyendometrialpolypsis significant．Themethodhaslow recurrencerateandhighersecurity． Key words：Hysteroscopicelectrosurgery ；Endometrialpolyps；Abnormaluterinebleeding；Curativeef_ ct 摘要 ：目的 分析官腔镜电切术治疗子宫内膜息肉致异常子宫出血的安全性及疗效 方法 选择我院 2010 2011年 3月42例子宫内膜息肉致异常子宫出血的患者行宫腔镜电切术 ，为电切组 ：选择同期采用宫腔镜后定位诊刮术 的42 例患者为诊刮术组 ：官腔镜下子宫内膜息肉摘除术 的患者 42例为内摘术组。所有患