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目的:探讨无水酒精宫腔内注射抑制子宫内膜生长、控制子宫异常出血的可行性。方法:根据患者不同情况如是否绝育、子宫大小,用不同的方法将无水酒精5~10 ml注入宫腔,保留20~30 min使之与子宫内膜充分接触,治疗1~2次即可。结果:无水酒精可使子宫内膜坏死、基底层腺体减少甚至消失,对性激素失去反应,使出血减少。治疗显效率85.71%,有效率10.32%,无效3.97%。结论:无水酒精宫腔注射治疗围绝经期出血有显著疗效,创伤小,对内分泌无干扰,符合微创手术发展潮流。可起到药物性子宫内膜切除作用。
Objective: To investigate the feasibility of intrauterine injection of anhydrous alcohol to inhibit the growth of endometrium and to control abnormal uterine bleeding. Methods: According to patients with different conditions such as sterilization, the size of the uterus, using different methods will be injected into the uterine cavity of alcohol 5 ~ 10 ml, keep 20 ~ 30 min to make full contact with the endometrium, the treatment can be 1 or 2 times . Results: Anhydrous alcohol can endometrial necrosis, basal gland reduce or even disappear, loss of response to sex hormones, so that bleeding reduced. Significantly effective treatment 85.71%, effective rate of 10.32%, 3.97% invalid. Conclusion: Intrauterine injection of anhydrous alcohol has significant curative effect on perimenopausal bleeding, less trauma and no disturbance to endocrine, which accords with the development trend of minimally invasive surgery. Can play a medicinal endometrium resection.