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目的探讨评价诺舒阻抗控制子宫内膜消融术治疗异常子宫出血的临床效果。方法将中山市博爱医院生殖内分泌科收治的66例异常子宫出血患者分为诺舒组(41例)和常规组(25例),前者采用诺舒阻抗控制子宫内膜消融术治疗,后者采用常规热球子宫内膜切除术治疗,分析对比两组临床疗效。结果诺舒组手术时间(OT)、术中出血量(BL)、术后住院时间(HST)和月经恢复时间(MRT)均明显少于常规组,差异均有统计学意义(t=10.890、9.085、8.835、6.143,P<0.05);诺舒组痊愈、有效和无效与常规组数据间等级比较差异有统计学意义(H=4.926,P<0.05),前者总有效率为95.12%,远高于后者的72.00%差异有统计学意义(χ~2=6.012,P<0.05);诺舒组下腹疼痛、子宫穿孔、宫腔积脓、宫腔感染等并发症发生率和常规组比较差异均无统计学意义(χ~2=0.346、1.123、1.123、0.874,P>0.05),前者并发症发生率为4.88%,与后者的12.00%比较差异无统计学意义(χ~2=1.406,P>0.05)。结论采用诺舒阻抗控制子宫内膜消融术对异常子宫出血患者进行治疗可显著改善整体疗效,还可减少创伤、促进术后恢复,该疗法安全可靠具有良好的应用价值。
Objective To evaluate the clinical efficacy of nosok resistance control endometrial ablation in the treatment of abnormal uterine bleeding. Methods 66 cases of abnormal uterine bleeding admitted to Reproductive and Endocrinology Department of Pok Oi Hospital of Zhongshan City were divided into noshu group (n = 41) and conventional group (n = 25). The former was treated with nosok resistance to control endometrial ablation, the latter with Conventional hot ball endometrial resection treatment, analysis and comparison of two groups of clinical efficacy. Results The operation time (OT), blood loss (BL), postoperative hospital stay (HST) and menstruation recovery time (MRT) were significantly less in the Noros group than in the conventional group (t = 10.890, There was significant difference between the two groups (H = 4.926, P <0.05). The total effective rate was 95.12% 72.00% higher than the latter, the difference was statistically significant (χ ~ 2 = 6.012, P <0.05). The complication rates of lower abdominal pain, uterine perforation, suppurative uterine cavity, The difference was not statistically significant (χ ~ 2 = 0.346,1.123,1.123,0.874, P> 0.05), the former complication rate was 4.88%, compared with the latter 12.00%, the difference was not statistically significant (χ ~ 2 = 1.406, P> 0.05). Conclusions The treatment of patients with abnormal uterine bleeding by nosocomial impedance control endometrial ablation can significantly improve the overall curative effect, reduce trauma and promote postoperative recovery. The therapy is safe and reliable and has good application value.