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目的探讨和分析宫腔镜应用于异常子宫出血中的临床疗效,总结其临床价值。方法回顾性分析具有完整临床资料的2009年11月至2010年11月来我院就诊的异常子宫出血患者40例,对宫腔镜治疗的效果进行分析。结果经宫腔镜检查与病理检查结果进行比较。其中子宫内膜增生患者有15例,子宫内膜息肉患者有7例,萎缩性子宫内膜炎患者有6例,子宫黏膜下肌瘤患者有8例,宫腔粘连患者有4例。40例宫腔镜电切术患者均顺利完成,手术时间为10～50min,平均手术时间为30min,术中出血量为20～100ml,平均出血量为50ml。患者住院天数为5～15d,平均住院时间为7d。结论宫腔镜用于治疗异常子宫出血具有出血少、不良反应小等优点,是治疗异常子宫出血的有效方法之一。具有较好的临床价值,值得临床借鉴和推广。
Objective To investigate and analyze the clinical effect of hysteroscopy in the treatment of abnormal uterine bleeding and to summarize its clinical value. Methods Forty patients with abnormal uterine bleeding who had come to our hospital from November 2009 to November 2010 with complete clinical data were retrospectively analyzed, and the effect of hysteroscopic treatment was analyzed. The results of hysteroscopy and pathological examination results were compared. There were 15 cases of endometrial hyperplasia, 7 cases of endometrial polyps, 6 cases of atrophic endometritis, 8 cases of uterine submucosal fibroids and 4 cases of intrauterine adhesions. 40 cases of hysteroscopic resection were successfully completed, the operation time was 10 ~ 50min, the average operation time was 30min, intraoperative blood loss was 20 ~ 100ml, the average amount of bleeding was 50ml. Patients hospitalized for days 5 ~ 15d, the average length of stay 7d. Conclusion Hysteroscopy for the treatment of abnormal uterine bleeding with less bleeding, adverse reactions and other advantages, is an effective method of treatment of abnormal uterine bleeding. Has a good clinical value, it is worth clinical reference and promotion.