TCRE与RFAE治疗功血的临床对比分析

发布时间：2018-04-12 22:18

本文选题：功能失调性子宫出血 + 微创手术　；参考：《新疆医科大学》2014年硕士论文

【摘要】：目的：探讨微创手术RFAE(Radiofrequency Ablation Of Endometrium)和TCRE(Transcervical Resection of Endometrium)治疗功能失调性子宫出血的的临床疗效,评价其疗效及安全性。方法：回顾性分析2007年1月至2012年12月在新疆医科大学第一附属医院因难治性功能失调性子宫出血给予微创手术治疗的88例患者,分为RFAE组患者42例作为A组,TCRE组46例作为B组。对两组术中出血、手术时间、术中术后并发症,手术治疗效果及手术满意度调查进行对比分析。结果：手术时间、术中出血,手术疗效及满意率,P值均小于0.05,手术时间、术中出血、阴道排液分布均不服从正态分布。调查对象中,TCRE组平均手术时间是(33±9)min;RAFE组平均手术时间是(12±5)min。两组手术时间差异有统计学意义(P0.05)。TCRE组手术时间明显长于RAFE组。TCRE组平均术中出血为(30±5) mL; RAFE组平均术中出血是(13±4)mL。两组术中出血差异有统计学意义(P＜0.05), TCRE组术中出血明显多于RAFE组。RFAE组手术满意率为100%,TCRE组手术满意率为88%。两组治疗效果及手术满意率有统计学意义(P0.05),RFAE组手术满意率明显高于TCRE组。TCRE组平均阴道排液为(18±7)天；RAFE组平均阴道排液为(18±5)天。两组术后阴道排液差异无统计学意义(P0.05)。结论：子宫内膜消融术以手术时间短,术中出血少,手术治疗效果及满意率高等优势可以作为微创手术中治疗功能失调性子宫出血的首选方法。
[Abstract]:Objective: to evaluate the efficacy and safety of RFAE(Radiofrequency Ablation of Endometrium and TCRE(Transcervical Resection of Endometrium in the treatment of dysfunctional uterine hemorrhage.Methods: from January 2007 to December 2012, 88 patients with refractory dysfunctional uterine bleeding were treated with minimally invasive surgery in the first affiliated Hospital of Xinjiang Medical University.The patients were divided into two groups: group A (n = 42), group A (n = 46), group B (n = 46).A comparative analysis was made between the two groups in terms of intraoperative bleeding, operative time, intraoperative and postoperative complications, surgical treatment results and surgical satisfaction.Results: the operative time, intraoperative bleeding, operative efficacy and satisfaction rate were all less than 0.05. The operative time, intraoperative bleeding and vaginal effusion distribution were not normal.The mean operation time of TCRE group was 33 卤9 min rafe group was 12 卤5 min.The operative time of the two groups was significantly longer than that of the RAFE group, and the mean intraoperative bleeding was 30 卤5 mL in the RAFE group and 13 卤4 mL in the RAFE group.There was significant difference in intraoperative bleeding between the two groups (P < 0.05). The operative satisfaction rate of TCRE group was significantly higher than that of RAFE group.The curative effect and satisfaction rate were significantly higher in RFAE group than in TCRE group. The average vaginal effusion was 18 卤7 days in RFAE group and 18 卤5 days in rafe group.There was no significant difference in vaginal effusion between the two groups (P 0.05).
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R713.4

【参考文献】