NovaSure子宫内膜切除术与宫腔镜下子宫内膜电切术治疗异常子宫出血的对比研究

发布时间：2019-01-23 17:19

【摘要】：目的：通过对比NovaSure子宫内膜切除术与子宫内膜电切术对于异常子宫出血患者的治疗效果,为临床治疗提供参考。方法：回顾性分析2011年11月～2013年6月在吉林大学第一附属医院行NovaSure治疗的51例异常子宫出血的患者作为研究组(NovaSure组),55例行宫腔镜下子宫内膜电切术(1transcervical resection of endometrium, TCRE)治疗的患者为对照组(TCRE组)。对患者术前、术中、术后的指标进行了比较分析。结果：两组患者术前年龄、发病时间、宫腔深度、血红蛋白值、月经失血图法(Pictorial blood loss assessment chart, PBAC)评分、术后有效率、疗效满意率、24小时内腹痛发生率、恶心呕吐发生率差异无统计学意义(P0.05),而NovaSure组手术时间平均1.48±0.31min, TCRE组手术时间平均27.46±5.42min,差异有统计学意义(P0.05)。NovaSure组患者术后住院天数平均1.64±0.77天,TCRE组平均3.86±1.35天,差异有统计学意义(P0.05)。NovaSure组患者恢复日常生活时间平均8.66±2.01小时,TCRE组平均16.35±5.18小时,差异有统计学意义(P0.05)NovaSure组闭经率为75.56%,TCRE组为48.94%。两组比较差异有统计学意义(P 0.05)。结论：NovaSure子宫内膜切除术手术创伤小、时间短、疼痛轻,术后恢复快,为异常子宫出血的患者提供了安全、有效的治疗选择。
[Abstract]:Objective: to compare the therapeutic effects of NovaSure endometrial resection and endometrial electroresection for abnormal uterine bleeding patients, and to provide reference for clinical treatment. Methods: from November 2011 to June 2013, 51 patients with abnormal uterine bleeding treated with NovaSure in the first affiliated Hospital of Jilin University as study group (NovaSure group) and 55 patients undergoing hysteroscopic endometrial electrotomy (1transcervical resection of endometrium,) were analyzed retrospectively. The patients treated with TCRE were the control group (TCRE group). The preoperative, intraoperative and postoperative indexes were compared and analyzed. Results: preoperative age, onset time, depth of uterine cavity, hemoglobin value, (Pictorial blood loss assessment chart, PBAC) score of menstrual haemorrhage, effective rate, satisfactory rate of curative effect, incidence rate of abdominal pain within 24 hours were found in both groups. There was no significant difference in the incidence of nausea and vomiting (P0.05), but the average operative time in NovaSure group was 1.48 卤0.31 min, and in TCRE group was 27.46 卤5.42 min. The difference was statistically significant (P0.05) the average hospitalization days of). NovaSure group and TCRE group were 1.64 卤0.77 days and 3.86 卤1.35 days, respectively. The difference was statistically significant (P0.05) the average daily life recovery time of). NovaSure group was 8.66 卤2.01 hours, and that of TCRE group was 16.35 卤5.18 hours. The difference was statistically significant (P0.05) the amenorrhea rate of NovaSure group was 75.56. The TCRE group was 48.94. The difference between the two groups was statistically significant (P 0.05). Conclusion: NovaSure endometrial resection has the advantages of small trauma, short time, mild pain and quick recovery, which provides safe and effective treatment for patients with abnormal uterine bleeding.
【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

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