宫腔镜子宫内膜射频消融术与内膜电切术治疗围绝经期功血疗效比较研究

发布时间：2018-03-15 01:23

本文选题：子宫内膜射频消融术　切入点：子宫内膜电切术　出处：《中国实用妇科与产科杂志》2015年04期 　论文类型：期刊论文

【摘要】：目的探讨宫腔镜子宫内膜射频消融术与内膜电切术治疗围绝经期功能失调性子宫出血(功血)的不同临床疗效。方法收集因围绝经期功血2009年1月至2013年8月于中国医科大学附属盛京医院行宫腔镜手术治疗患者的临床资料共132例,其中宫腔镜子宫内膜射频消融术(消融组)68例,宫腔镜子宫内膜电切术(电切组)64例。比较两组的手术时间、术中出血量、住院时间、治愈率及手术并发症,以评价两者的临床疗效。结果消融组的手术时间、住院时间比电切组短,差异有统计学意义(P0.05);消融组的出血量较电切组少,差异有统计学意义(P0.05);消融组的治愈率为98.5%,虽优于电切组的93.8%,但两者差异无统计学意义(P0.05),两组均无手术并发症发生。结论宫腔镜子宫内膜射频消融术治疗围绝经期功血疗效确切,值得在临床使用。
[Abstract]:Objective to investigate the different clinical effects of hysteroscopic endometrial radiofrequency ablation and endometrial electroresection in the treatment of peri-menopausal dysfunctional uterine bleeding (dysfunctional uterine bleeding). Methods from January 2009 to August 2013, the clinical effects of peri-menopausal dysfunctional uterine bleeding were collected. Clinical data of 132 patients undergoing hysteroscopic surgery in Shengjing Hospital, affiliated to China Medical University, Hysteroscopic endometrial radiofrequency ablation was performed in 68 cases in the ablation group and 64 cases in the hysteroscopic resection group. The operative time, intraoperative bleeding, hospital stay, cure rate and surgical complications were compared between the two groups. Results the operation time and hospital stay in the ablation group were shorter than those in the electric resection group, the difference was statistically significant (P 0.05), the amount of blood loss in the ablation group was less than that in the electric resection group. The cure rate of ablation group was 98.5, which was better than that of electroresection group (93.885%), but there was no significant difference between the two groups (P 0.05). Conclusion the effect of hysteroscopic endometrial radiofrequency ablation is effective in treating peri-menopausal functional bleeding. Worthy of clinical use.
【作者单位】：中国医科大学附属盛京医院;
【分类号】：R711.52

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