论文部分内容阅读
目的探究宫腔镜子宫内膜电切术(TCRE)治疗难治性功能失调性子宫出血的临床疗效。方法 72例难治性功能失调性子宫出血患者,随机分为观察组和对照组,每组36例。对照组患者采取左炔诺孕酮宫内缓释系统(LNG-IUS)进行治疗,观察组患者采取宫腔镜子宫内膜电切术进行治疗。对比两组患者的治疗效果。结果治疗前,两组患者的月经量比较,差异无统计学意义(P>0.05);治疗后3、6、9个月,观察组患者月经量均少于对照组,差异均具有统计学意义(P<0.05)。治疗前及治疗后3、6个月,两组患者的子宫内膜厚度比较,差异均无统计学意义(P>0.05);治疗后9个月,观察组子宫内膜厚度薄于对照组,差异具有统计学意义(P<0.05)。观察组不良反应发生率为2.8%,与对照组的5.6%比较,差异无统计学意义(P>0.05)。结论宫腔镜子宫内膜电切术治疗难治性功能失调性子宫出血效果显著,不良反应少,创伤小,子宫出血量显著减少,具有临床应用价值。
Objective To investigate the clinical efficacy of hysteroscopic endometrial electrotomy (TCRE) in the treatment of refractory dysfunctional uterine bleeding. Methods 72 patients with refractory dysfunctional uterine bleeding were randomly divided into observation group and control group, 36 cases in each group. Patients in the control group were treated with levonorgestrel intrauterine system (LNG-IUS), and patients in the observation group were treated by hysteroscopic endometrial resection. Compare the treatment effect of two groups of patients. Results Before treatment, there was no significant difference in the menstrual flow between the two groups (P> 0.05). At 3, 6, and 9 months after treatment, the menstrual flow in the observation group was less than that in the control group, and the differences were statistically significant (P <0.05). Before treatment and 3 and 6 months after treatment, there was no significant difference in endometrial thickness between the two groups (P> 0.05). At 9 months after treatment, the thickness of endometrium in the observation group was thinner than that in the control group, The difference was statistically significant (P <0.05). The incidence of adverse reactions in the observation group was 2.8%, which was not significantly different from 5.6% in the control group (P> 0.05). Conclusion Hysteroscopic endometrial resection for treatment of refractory dysfunctional uterine bleeding with significant adverse reactions, trauma, uterine bleeding was significantly reduced, with clinical value.