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目的:探讨米非司酮配合消融术治疗功能性子宫出血的临床疗效。方法:对确诊为功能性子宫出血的84例,分别采用单纯消融术治疗44例和米非司酮配合消融术治疗40例,分析两组的临床疗效。结果:米非司酮配合消融术治疗40例,术后阴道排液时间短(4～5周),月经量显著减少[(37±23)ml],持续时间明显缩短[(3.65±1.03)天],月经周期恢复正常,治愈率及显效率明显高于单纯消融术组。结论:米非司酮配合消融术治疗功能性子宫出血疗效好,治愈率高,无明显并发症,安全性高,操作简单,微创,病人痛苦少,既克服了长期服药的缺点,又避免了子宫切除,保证了病人的身心健康。
Objective: To investigate the clinical efficacy of mifepristone combined with ablation in the treatment of functional uterine bleeding. Methods: 84 patients diagnosed with functional uterine bleeding were treated with simple ablation of 44 cases and mifepristone with ablation of 40 cases, the clinical efficacy of the two groups were analyzed. Results: 40 cases were treated with mifepristone combined with ablation, the duration of vaginal discharge was short (4 ~ 5 weeks) and the amount of menstruation was significantly reduced (37 ± 23) ml, the duration was significantly shortened [(3.65 ± 1.03) Day], menstrual cycle returned to normal, the cure rate and significant efficiency was significantly higher than simple ablation group. Conclusion: Mifepristone combined with ablation is effective in treating functional uterine bleeding, with high cure rate, no obvious complication, high safety, simple operation, minimal invasion and less patient pain. It not only overcomes the shortcoming of long-term medication but also avoids Hysterectomy, to ensure the patient’s physical and mental health.