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目的 :探讨宫腔镜治疗尿毒症妇女月经过多的可行性和有效性。方法 :应用宫腔镜对 16例尿毒症妇女施行宫颈子宫内膜电切术。结果 :所有病例均成功地在宫颈局部麻醉下实施子宫内膜电切术 ,宫腔深度 7.5～12 .5cm ,平均 9.2cm ;术中出血量 30～ 12 0ml,平均 (5 5± 2 6 )ml;手术时间 18～ 5 2min ,平均 (4 1.38± 14.2 6 )min ;术后住院时间 2～ 5d ,平均 (2 .6± 1.3)d。无 1例发生并发症。切除的子宫内膜组织量 5 .1～ 16 .5 g ,平均10 .3g ,其中子宫内膜增生过长 4例 (单纯型增生过长 3例 ,腺囊型增生过长 1例 ) ,子宫内膜息肉 4例。术后随访 6个月 ,闭经率达 81.3% ,治疗的有效率为 10 0 %。结论 :宫腔镜下子宫内膜电切术治疗尿毒症妇女异常子宫出血具有安全、有效的特点 ,耐受性良好 ,值得推广应用
Objective: To investigate the feasibility and effectiveness of hysteroscopy in treating menorrhagia in uremic women. Methods: Hysteroscopy was performed on 16 cases of uremic women with cervical endometrial resection. Results: In all cases, endometrial resection was successfully performed under local cervical anesthesia. The depth of uterine cavity was 7.5-12.5 cm (average 9.2 cm). The intraoperative blood loss was 30-1200 ml, with an average of (55 ± 2 6) ml. The operation time was 18-52 minutes, with an average of (4.13 ± 14.26) min. The postoperative hospital stay was 2 ~ 5 days (mean, 2.6 ± 1.3) days. No one had complications. Endometrial resection of the amount of 5.1 ~ 16.5g, an average of 10.3g, of which 4 cases of endometrial hyperplasia (simple hyperplasia in 3 cases, hyperplasia in 1 case), the uterus Endometrial polyps in 4 cases. After 6 months of follow-up, the rate of amenorrhea was 81.3%. The effective rate of treatment was 100%. Conclusion: Hysteroscopic endometrial resection of Uremic patients with abnormal uterine bleeding is safe and effective, well tolerated, it is worth to promote the use of