论文部分内容阅读
目的探讨宫腔镜治疗异常子宫出血的临床疗效。方法以2009年1月至2011年7月其期间本院收治的128例异常子宫出血的患者为研究对象。所有患者均经病理学确诊,运用宫腔镜进行刮宫或肿物电切治疗,观察患者的手术时间、术中出血量、住院时间、治愈率、并发症发生率,评价治疗效果。结果患者的手术时间在20～40min之间,平均时间为28.9min;术中出血量18～45ml,平均32.7ml;所有手术均顺利完成,术后阴道有少量血性分泌物流出时间为1～9d,平均3.7d,无需特殊处理;术后无子宫穿孔、大出血等严重并发症发生。结论宫腔镜在对异常子宫出血做检查和诊断的同时给予刮宫或切除治疗,并能达到边切割边止血的效果,具有术前诊断明确、术中出血量少、操作目标准确,对患者损伤小,患者术后疼痛较轻,恢复较快,并且不影响卵巢的功能等优点,是一种治疗异常子宫出血的有效治疗方法 。
Objective To investigate the clinical effect of hysteroscopy in treating abnormal uterine bleeding. Methods A total of 128 patients with abnormal uterine bleeding in our hospital from January 2009 to July 2011 were enrolled in this study. All patients were diagnosed by pathology, the use of hysteroscopy curettage or tumor resection, observation of the patient’s operation time, intraoperative blood loss, hospital stay, cure rate, the incidence of complications, evaluate the effect of treatment. Results The operation time was between 20 and 40 minutes and the mean time was 28.9 minutes. The intraoperative blood loss was 18 to 45ml, with an average of 32.7ml. All the operations were successfully completed. A small amount of bloody discharge was found in the vagina after 1 ~ 9d, an average of 3.7d, without special treatment; no postoperative uterine perforation, bleeding and other serious complications. Conclusion Hysteroscopy in the abnormal uterine bleeding to do the examination and diagnosis of curettage or removal of the same treatment and can achieve the edge cutting hemostasis, with a clear preoperative diagnosis, less blood loss, the operation target is accurate, the patient’s injury Small, patients with less postoperative pain, rapid recovery, and does not affect ovarian function and other advantages, is an effective treatment of abnormal uterine bleeding.