论文部分内容阅读
目的探讨宫腔镜下子宫内膜电切术在子宫内膜增生症所致不孕患者治疗中的效果。方法 2007年10月—2011年2月,采用宫腔镜下子宫内膜电切术(TCRE)治疗反复药物治疗无效的子宫内膜增生症所致不孕患者16例,术前诊刮子宫内膜病理为单纯性增生14例,复杂性增生2例,术后随访至今。结果 16例手术均顺利完成,无子宫穿孔、过度水化综合征和盆腔脏器损伤等并发症,随访至今,例妊娠,术后血激素水平与术前差异无统计学意义(P>0.05)。结论 TCRE为7久治不愈的子宫内膜增生症且有生育要求的患者开辟了一条新的治疗途径。
Objective To investigate the effect of hysteroscopic endometrial resection in the treatment of infertility caused by endometrial hyperplasia. Methods From October 2007 to February 2011, hysteroscopic endometrial resection (TCRE) was used to treat 16 cases of infertility caused by ineffective repeated endometrial hyperplasia. Membranous pathology was simple hyperplasia in 14 cases, complicated hyperplasia in 2 cases and was followed up till now. Results All the 16 surgeries were successfully completed without complications such as uterine perforation, hyperhydration syndrome and pelvic organ injury. Up to now, there was no significant difference between preoperative and post-operative blood hormone levels (P> 0.05) . Conclusion TCRE opens up a new therapeutic approach for 7 long-lasting endometrial hyperplasia patients with fertility requirements.