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为评价经宫颈子宫内膜切除(TCRE)的价值,对5年中412例平均年龄44.5±5.1岁(28～72)的子宫异常出血患者行TCRE术。31例(8.2％)需做2次TCRE。22例因肌瘤、息肉及激素替代治疗期间出血,年龄>53岁(53～72)者的临床结果未统计在内。术前均行内膜活检及宫颈刮片。205例术前做阴道B超。使用月经卡评估出血类型,以100天期限分析。出血指数(BI)指就诊后首次月经第一天开始的100天内出血的天数。手术指征包括月经过多和子宫出血。86例(21％)有重度痛经,144例(35％)为中
To assess the value of transcervical endometrial ablation (TCRE), TCRE was performed on 412 patients with abnormal uterine bleeding in a mean age of 44.5 ± 5.1 years (28-72) in 5 years. 31 cases (8.2%) need to do 2 TCRE. Twenty-two cases of bleeding due to fibroids, polyps and hormone replacement therapy, 53 years of age (53 to 72) were not included in the clinical results. Preoperative biopsy and cervical smears were performed. 205 cases of vaginal ultrasound before surgery. Use the menstrual card to assess the type of bleeding, with a 100-day period analysis. The bleeding index (BI) refers to the number of days of bleeding within 100 days from the first day of the first menstrual period after treatment. Surgical indications include menorrhagia and uterine bleeding. 86 (21%) had severe dysmenorrhea and 144 (35%) were moderate