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目的 探讨宫腔镜电切术治疗围绝经期子宫异常出血的疗效。 方法 对围绝经期宫腔良性病变行宫腔镜电切术,切除宫内膜及基底层下方3 mm的肌肉组织,电切完成后再用滚球电极熨烫。 结果 41例中27例术后无月经,占 65 9%(27/41)。12 例月经明显减少,占 29 3%(12/41)。治疗成功率达95 1% (39/41)。2 例术后月经减少不明显,占 4 8% (2/41)。术后宫腔粘连 1 例,占2 4%(1/41)。 结论 宫腔镜电切术治疗围绝经期子宫异常出血,治疗成功率高,并发症少,避免了开腹子宫切除术。
Objective To investigate the curative effect of hysteroscopic electrosurgical excision for treating uterine abnormal perimenopausal bleeding. Methods Hysteroscopic electrotomy was performed on benign and malignant uterine cavity lesions during the menopause. The 3 mm muscle tissue was removed from the endometrium and basal layer. Results 27 of the 41 cases had no menstruation after operation, accounting for 65.9% (27/41). 12 cases of menstruation was significantly reduced, accounting for 29 3% (12/41). The success rate of treatment was 95 1% (39/41). 2 cases of postoperative menstruation was not obvious, accounting for 48% (2/41). Postoperative intrauterine adhesions in 1 case, accounting for 24% (1/41). Conclusion Hysteroscopic resection of peri-menopausal uterine abnormal bleeding, the high success rate, fewer complications, to avoid an open hysterectomy.