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目的探讨宫腔镜电切术治疗异常子宫出血的疗效及安全性。方法应用宫腔镜,对200例经宫腔镜检查诊断为子宫内膜病变导致的异常子宫出血的有手术指征的患者进行宫腔镜电切术治疗。结果治疗后随访36～48个月,平均36个月,失访6例,异常子宫出血消失,月经明显改善(P<0.05),月经改善率为88%～98%,且随着时间的延长月经改善逐渐下降,但较术前仍有明显改善(P<0.05)。不同手术方式与月经改善情况无相关性(P>0.05)。结论宫腔镜电切术治疗子宫内膜病变导致的异常子宫出血效果明显,有极高的临床应用价值。
Objective To investigate the efficacy and safety of hysteroscopic electrotomy for the treatment of abnormal uterine bleeding. Methods Hysteroscopy was used to treat hysteroscopy in 200 patients with surgical indications of abnormal uterine bleeding caused by endometrial lesions diagnosed by hysteroscopy. Results The patients were followed up for 36-48 months, with an average of 36 months and 6 cases lost to follow-up. Abnormal uterine bleeding disappeared, menstruation improved significantly (P <0.05), and the improvement rate of menstruation was 88% -98%. With the extension of time Menstruation improved gradually decreased, but still significantly improved compared with preoperative (P <0.05). There was no correlation between different surgical methods and menstrual improvement (P> 0.05). Conclusion Hysteroscopic resection of endometrial lesions caused by abnormal uterine bleeding is obvious, has a very high clinical value.