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目的探究异常子宫出血采用宫腔镜下子宫内膜切除术(TCRE)的治疗效果。方法选取2014年8月至2015年8月子宫异常出血的84例患者为研究对象,均接受TCRE治疗。分析手术过程中操作的改善情况及术中并发症的发生率,通过术后回访,分析术后患者的月经恢复情况。结果 84例患者手术均顺利完成,手术时间较传统治疗方法明显减少,仅为(48.97±14.82)min;术中出血量也明显减少,仅为(67.34±21.85)ml。无明显术中并发症出现,仅有3例患者出现颅内低压现象。术后回访显示,80例患者月经均恢复正常,月经恢复率高达95.24%;4例患者月经量增多,并通过服用药物治疗后,其月经量也得以恢复。结论宫腔镜下行TCRE治疗异常子宫出血,具有安全性良好、治愈率高等特点,可明显改善患者病情,提升手术疗效,保障患者生命安全,值得临床推广。
Objective To investigate the therapeutic effect of hysteroscopic endometrial ablation (TCRE) in patients with abnormal uterine bleeding. Methods Eighty-four patients with abnormal uterine bleeding from August 2014 to August 2015 were selected as study subjects and received TCRE. Analysis of the operation during the operation to improve the situation and the incidence of intraoperative complications, postoperative follow-up analysis of postoperative patients with menstrual recovery. Results The operation of 84 patients was successfully completed. The operation time was significantly reduced (48.97 ± 14.82) min compared with that of the conventional treatment. The amount of bleeding during surgery was also significantly reduced to (67.34 ± 21.85) ml. No obvious intraoperative complications occurred, only 3 cases of intracranial hypoxia occurred. Postoperative follow-up showed that 80 patients with normal menstruation, menstrual recovery rate as high as 95.24%; 4 patients increased menstrual flow, and by taking medication, the menstrual volume was also restored. Conclusion Hysteroscopic treatment of abnormal uterine bleeding TCRE, with good security, high cure rate, can significantly improve the patient’s condition, enhance the efficacy of surgery to protect the lives of patients worthy of clinical promotion.