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目的探讨宫腔镜电切术治疗异常子宫出血的临床疗效。方法应用连续灌流式宫腔镜,对18例异常子宫出血患者进行宫腔镜电切手术治疗,其中10例为子宫内膜切除、2例为黏膜下小肌瘤切除、6例为息肉及部分内膜切除。结果术后随访6～12个月者16例,月经改善率为87·5%,其中闭经4·5%,月经量减少68·8%,月经量正常12·5%,3例痛经中2例改善,术后满意率76·5%。术后10个月后月经改善率低于术后6个月,估计与切割深度不足有关。闭经率低可能与刚开展宫腔镜电切手术,切割不完全有关。结论宫腔镜电切术治疗异常子宫出血,短期疗效高、并发症少。长期疗效尚待观察。在提高手术技术和基础知识的同时,应掌握适当的手术指征。
Objective To investigate the clinical efficacy of hysteroscopic electrotomy for the treatment of abnormal uterine bleeding. Methods Continuous perfusion hysteroscopy was used to treat 18 cases of abnormal uterine bleeding by hysteroscopic electrosurgical treatment, of which 10 cases were endometrial resection, 2 cases were submucosal myoma excision, 6 cases were polyps and some polyps Endometrial resection. Results Sixteen patients were followed up for 6 to 12 months. The improvement rate of menstruation was 87.5%, of which the amenorrhea was 4.5%, the menstrual flow decreased 68.8%, the menstrual flow was normal 12.5%, and 3 cases of dysmenorrhea 2 Cases of improvement, satisfaction rate 76.5%. After 10 months, the improvement rate of menstruation is lower than 6 months after operation, which is estimated to be related to the insufficient cutting depth. Amenorrhea rate may be low and hysteroscopic resection surgery, cutting is not entirely related. Conclusion Hysteroscopic resection of abnormal uterine bleeding, short-term high efficacy, fewer complications. Long-term efficacy remains to be seen. In improving the surgical techniques and basic knowledge, should have appropriate surgical indications.