NovaSure子宫内膜切除术与宫腔镜下子宫内膜电切术治疗异常子宫出血临床研究.docVIP

NovaSure子宫内膜切除术与宫腔镜下子宫内膜电切术治疗异常子宫出血临床研究 　　[摘要]目的 比较NovaSure子宫内膜切除术与子宫内膜电切术治疗异常子宫出血患者的临床效果。方法 选取2015年12月～2016年9月我院收治的异常子宫出血患者80例，随机分为观察组与对照组，各40例。观察组采用NovaSure子宫内膜切除术，而对照组则采用宫腔镜下子宫内膜电切术。观察两组的有效率及术后并发症发生率。结果 两组患者的有效率比较，差异无统计学意义（P0.05）。观察组患者术后腹痛、发热的发生率低于对照组，两组并发症的总发生率比较，差异有统计学意义（P0.05）。结论 NovaSure子宫内膜切除术和子宫内膜电切术治疗异常子宫出血均具有一定的效果，但前者的并发症发生率更低，更具安全性，值得在临床上推广。 　　[关键词]NovaSure子宫内膜切除术；宫腔镜下子宫内膜电切术；异常子宫出血；临床疗效 　　[中图分类号] R713.4 [文献标识码] A [文章编号] 1674-4721（2017）02（b）-0064-03 　　[Abstract]Objective To compare the clinical efficacy of NovaSure endometrial resection and transcervical resection of endometrium in the treatment of abnormal uterine bleeding.Methods A total of 80 patients with abnormal uterine bleeding in our hospital from December 2015 to September 2016 was selected and randomly divided into observation group and control group，40 cases in each group.The observation group was given the NovaSure endometrial resection，while the control group was given the transcervical resection of endometrium under hysteroscope.The efficient and incidence of postoperative complications of two groups were observed.Results The efficient in the two groups had no statistically significant difference （P0.05）；the incidence of abdominal pain，fever postoperative of the control group was higher than that of the observation group，and the total incidence of postoperative complications between the two groups had statistically significant difference （P0.05）.Conclusion Both the NovaSure endometrial ablation and ranscervical resection of endometrium for the treatment of abnormal uterine bleeding have certain effect，but the NovaSure endometrial resection with lower incidence of complications and more safety，so it is worthy of clinical application. 　　[Key words]NovaSure endometrial ablation；Transcervical resection of endometrium；Abnormal uterine bleeding；Clinical efficacy 　　??常子宫出血（abnormal uterine bleeding，AUB）是指有别于正常的女性经期出血现象，在非经期子宫产生出血，或是经期子宫的出血状况异常，严重超过正常出血数量，其中非常典型的便是功能失调性子宫出血（dysfunctional ute