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目的 探讨宫腔镜在异常子宫出血中的临床应用。方法回顾分析我科2008年10月至2010年2月收治的90例AUB患者的临床资料。结果本组手术时间7~78 m in,术中出血约5~40 m。l切除组织约3~40 g;经给予止血治疗后,本组患者均在术后48 h内无明显阴道流血或者有少量排液,患者术后常规应用抗生素3 d,禁性生活2周,均无并发症发生。术后平均住院1~3 d。宫腔镜与病理结果符合率95%。结论运用宫腔镜诊治异常子宫出血,能准确的切除病变组织,可一边切割一边止血,术中出血少,手术视野清晰,宫腔镜下操作目的 性强,不致切除过多正常宫腔内组织而造成不必要的损伤。手术操作简单,具有创伤小,效果好,患者疼痛小,术后恢复快,住院时间短,不影响卵巢的功能的优点,值得临床应用。
Objective To investigate the clinical application of hysteroscopy in abnormal uterine bleeding. Methods The clinical data of 90 AUB patients admitted to our department from October 2008 to February 2010 were retrospectively analyzed. Results The operation time of this group was 7 ~ 78 mins, and the intraoperative bleeding was about 5 ~ 40 m. l about 3 ~ 40g resection of the tissue; given hemostasis, the patients were within 48 h after surgery no obvious vaginal bleeding or a small amount of fluid, the patients routine use of antibiotics for 3 days, forbidden life for 2 weeks, No complications occurred. The average postoperative hospital stay 1 ~ 3 d. Hysteroscopy and pathological results in line with 95%. Conclusion Hysteroscopic diagnosis and treatment of abnormal uterine bleeding, accurate removal of diseased tissue, while cutting the hemostasis, bleeding less surgery clear vision, hysteroscopic purpose of the operation is strong, not too much removal of normal intrauterine tissue And cause unnecessary damage. Surgical operation is simple, with less trauma, good effect, patients with small pain, fast recovery, shorter hospital stay, does not affect the ovarian function, merits the clinical application.