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目的:对比分析使用宫腔镜下电切术与宫腔镜下刮宫术治疗异常子宫出血的疗效。方法:选取我院2014年5月-2015年5月期间治疗的出现异常子宫出血的患者134例,按照患者就诊的先后随机分为治疗组和对照组各67例,对照组的患者在宫腔镜下行刮宫术,治疗组的患者行宫腔镜下电切术,对比两组患者的手术时间,手术成功率,术后并发症以及3个月之后疾病的复发率等情况。结果:两组患者在手术时间,患者住院时间,术中出血量,术后病检结果诊断正确率等情况对比无明显的差异,同时治疗组的患者在手术当中出现了1例术中子宫穿孔,而对照组当中有1例患者大出血,结果对比也无明显的差异。3个月后复查,对照组患者当中有2例患者出现子宫粘连,1例患者出现宫颈粘连,6例患者出现复发,治疗组当中1例患者发生宫腔粘连,2例患者有复发。讨论:使用宫腔镜下电切术治疗异常子宫出血不仅具有更好的治疗效果,而且术后并发症的发生率以及治疗后复发的几率都较低。
Objective: To comparatively analyze the curative effect of hysteroscopic resection and hysteroscopic curettage in treating abnormal uterine bleeding. Methods: A total of 134 patients with abnormal uterine bleeding who were treated in our hospital from May 2014 to May 2015 were randomly divided into treatment group (67 cases) and control group (67 cases). The patients in the control group were treated in the uterine cavity The patients were treated by hysteroscope in the curettage group. The operation time, operation success rate, postoperative complications and the relapse rate of the disease after 3 months were compared between the two groups. Results: The two groups of patients in the operation time, hospital stay, intraoperative blood loss, postoperative pathological results of the diagnosis of the correct rate of no significant difference compared to the same time the treatment group of patients in the operation appeared in 1 case of intraoperative uterine perforation , While one of the patients in the control group had hemorrhage and the results were not significantly different. Three months later, two patients in the control group had uterine adhesions, one with cervical adhesions, six patients with recurrence, and one patient with intrauterine adhesions in the treatment group and two patients with recurrence. Discussion: The use of hysteroscopic resection of abnormal uterine bleeding not only has a better therapeutic effect, but also the incidence of postoperative complications and recurrence after treatment are less likely.