Hysteroscopic endometrial resection of 58 cases.docVIP

 PAGE \* MERGEFORMAT 8 Hysteroscopic endometrial resection of 58 cases [Keywords:] TV hysteroscopy, endometrial resection, abnormal uterine bleeding Endometrial resection under the use of hysteroscopy in the television endometrial resection or destruction of, the purpose to control bleeding, is an alternative to hysterectomy to treat dysfunctional uterine bleeding is a safe and effective means. Our hospital since 2000 August ~ October 2007 58 cases of hysteroscopy for applied endometrial resection for patients with all patients discharged, the report is summarized as follows. Materials and Methods 1. General information the 58 patients aged 33 to 49 years, mean age 41 years, none of the menopause, uterine cavity depth is less than 10 cm, both the maternal and no re-growth requirements, all patients showed an increase in menstrual flow duration of 17.5 + -8.1 days, 3.8 + -1.7 years of history, uterine size of lt;12 weeks gestational size, of whichgt; = 10 weeks gestation in 19 cases, “10 weeks pregnant, 39 cases in 12 patients with severe anemia, hypertension , 1 case of diabetes. the reasons for treatment were: dysfunctional uterine bleeding, submucous myoma ( 5 cm, endometrial polyps. preoperative routine gynecological examination, B-, endometrial pathology, cervical cytology, except for malignant lesions, endometrial pretreatment endometrial thinning in 49 cases, including mifepristone 10 ~ 12.5 mg, Qd, qd for 4 to 8 weeks in 20 cases, Danazol daily oral 600 ~ 800 mg, use 3 to 12 weeks in 15 cases, 14 cases of preoperative curettage. preoperative line of 9 cases of endometrial pretreatment. 2. Stryker surgical methods used by the U.S. company’s complete sets of equipment, equipment for direct hysteroscopic hard lens, 12 4 mm optics as the tube, high brightness cold light source fiber, through tiny camera, through the TV screen will display the image the uterine cavity . preoperative systemic examination, gynecological examination, B-and urine