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目的探讨宫腔镜电切术治疗子宫内膜病变的临床疗效。方法因子宫内膜病变行宫腔镜电切术202例。根据不同病种及不同生育要求,102例采用子宫内膜病变电切加子宫内膜切除术;39例采用子宫内膜病变电切加子宫内膜浅层电切术;12例行子宫内膜病变电切加子宫内膜剥除术;49例行单纯病灶切除。所有患者术后门诊定期随访。结果随访3～24个月,平均(14.7±6.7)个月,月经改善满意者达94.5%,原有痛经消失或减轻者达83.3%。9例不孕患者中有6例术后妊娠;39例要求保留生育功能患者采用病变切除+子宫内膜浅层电切术,术后无闭经者。结论宫腔镜电切术是子宫内膜良性病变首选的治疗方法,疗效安全可靠。并可根据患者生育要求采用的不同手术方式。
Objective To investigate the clinical efficacy of hysteroscopic resection of endometrial lesions. Methods Endometrial lesions underwent hysteroscopic resection of 202 cases. According to different types of diseases and different requirements of birth, 102 cases of endometrial lesions with endometriosis and endometrial ablation; 39 cases of endometrial lesions with endometrial shunt; 12 cases of endometrial Lesion electrotome and endometrial ablation; 49 cases of simple focal resection. All patients were followed up regularly. Results The follow-up ranged from 3 to 24 months, with an average of (14.7 ± 6.7) months. The rate of menstruation improvement was 94.5%. The original dysmenorrhea was 83.3%. Nine cases of infertility patients after 6 cases of pregnancy; 39 cases required to retain fertility in patients with endometrial ablation cut + surgery, no menopause. Conclusion Hysteroscopic resection is the first choice of treatment of benign endometrial disease, the effect is safe and reliable. And according to the patient’s reproductive requirements using different surgical methods.