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目的探讨宫腔镜子宫内膜切除术治疗月经过多的手术指征、手术方法及预后。方法2004年8月至2007年3月应用连续灌流宫腔电切镜,对100例手术指征为保守治疗无效的月经过多,无生育要求,合并粘膜下肌瘤≤5.0cm的患者行子宫内膜切除术,15例同时行子宫粘膜下肌瘤切除术,术后随访3个月至3年。结果除5例因异常子宫出血第二次手术切除子宫外,其余95例月经均有所改变,手术成功率95.0%。术后95例无月经,5例为月经点滴状,14例痛经明显改善。结论子宫内膜切除术可减少或停止月经,切除子宫内膜的同时切除子宫肌瘤,疗效满意。
Objective To investigate the surgical indications, surgical methods and prognosis of hysteroscopic endometrial resection for menorrhagia. Methods From August 2004 to March 2007, continuous uterine resection of the uterus was performed with 100 cases of menorrhagia without conservative treatment indications for conservative treatment. The patients with submucosal fibroids ≤5.0 cm were treated with uterus Endometrial ablation, 15 cases underwent simultaneous submucosal myomectomy, followed up for 3 months to 3 years. Results In addition to the 5 cases of abnormal uterine bleeding after the second surgical removal of the uterus, the remaining 95 cases of menstruation have changed, the success rate of 95.0%. 95 cases had no menstruation, 5 cases had menstrual drip and 14 cases had dysmenorrhea remarkably improved. Conclusion Endometrial resection can reduce or stop menstruation, removal of endometrial uterine fibroids at the same time, the curative effect is satisfactory.