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月经过多是指每月经周期失血量超过80 mL,经期大于7 d。病因很多,大致可分为内分泌性、器质性、凝血功能紊乱性疾病和医源性疾病,其中因凝血功能紊乱性疾病,如肾功能衰竭、肝硬化、血液系统疾病及使用抗凝药物导致月经过多患者,具有激素治疗的禁忌证或全身情况差难以耐受全子宫切除的麻醉、手术,临床治疗棘手。笔者自2010年10月至2012年6月,应用宫腔镜滚球电极电凝子宫内膜去除术(roller-ball endometrial ablation,RBA)治疗月经过多合并严重内科疾病35例,取得良好的临床效果,现报道如下。
Menorrhagia refers to the monthly menstrual blood loss of more than 80 mL, menstrual more than 7 d. Etiology, can be broadly divided into endocrine, organic, coagulation disorders and iatrogenic diseases, which due to coagulopathy, such as renal failure, cirrhosis, blood diseases and the use of anticoagulant drugs lead Menorrhagia patients, with hormone therapy contraindications or poor general condition difficult to tolerate hysterectomy anesthesia, surgery, clinical treatment difficult. The author from October 2010 to June 2012, the application of hysteroscopic ball electrode coagulation endometrial ablation (roller-ball endometrial ablation, RBA) treatment of menorrhagia with severe medical disease in 35 cases, and achieved good clinical Effect, are reported below.