宫腔镜在子宫异常出血中应用探讨.docVIP

宫腔镜在子宫异常出血中应用探讨 　　[摘要] 目的 探讨宫腔镜在子宫异常出血治疗中的应用价值。 方法 选取我院收治的子宫异常出血患者110例，收治时间为2013年4月～2015年4月。随机分为两组，每组55例。对照组给予刮宫术治疗，观察组采用宫腔镜电切术治疗，随访时间为1年，比较两组患者的治疗效果、治疗满意度、术后并发症、病灶复发情况。 结果 观察组治愈率89.09%、满意度89.09%高于对照组74.55%、72.73%，观察组并发症发生率1.82%低于对照组14.55%，差异有统计学意义（P0.05）。 结论 子宫异常出血患者采用宫腔镜电切术治疗，有利于提高治愈率，降低术后并发症率，病灶复发率较低，值得临床推广应用。 　　[关键词] 子宫异常出血；宫腔镜；治疗效果；并发症；复发率 　　[中图分类号] R711.74 [文献标识码] A [文章编号] 2095-0616（2017）16-81-03 　　Application of hysteroscopy in abnormal uterine bleeding 　　FENG Jianyi 　　Department of Obstetrics and Gynecology，Yangdong District People’s Hospital，Yangjiang 529931，China 　　[Abstract] Objective To explore the application effect of hysteroscopy in abnormal uterine bleeding. Methods 110 cases of abnormal uterine bleeding cured in our hospital from April 2013 to April 2015 were selected and randomly divided into two groups with 55 cases in each.Patients in control group were treated with curettage，and patients in observation group were treated with hysteroscopic electro resection.The follow-up period was 1 years.The treatment effect，treatment satisfaction，postoperative complications and recurrence of the lesion of the two groups were compared. Results The cure rate of the observation group was 89.09%，and the satisfaction rate was 89.09%，which were higher than those of the control group with 74.55% and 72.73%，the complication rate of the observation group was 1.82%，which was lower than that of the control group 14.55%，and the differences were statistically significant （P0.05）. Conclusion For patients with abnormal uterine bleeding，hysteroscopic hysterectomy is propitious to improve the cure rate，and reduce the postoperative complication rate.The recurrence rate of the lesion is low，so it is worthy of clinical application. 　　[Key words] Abnormal uterine bleeding；Hysteroscope；Treatment effect；Complication；Recurrence rate 　　子?m异常出血在医院妇科中比较常见，根据病变类型可分为恶性、良性和非器质性疾病。大多因子宫良性病变所致，通过尽早采取措施对患者进行治疗，有利于获取良好的预后，促使患者的精神压力、生理痛苦得以缓解[1]。临床中用于检查子宫异常出血的诊断方法很多，B超、刮宫等。诊刮术为有创检查，且术