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目的探讨微波子宫内膜去除术治疗异常子宫出血的疗效及发全性。方法采用微波子宫内膜去除术治疗异常出血患者34例,其中功能失调性子宫出血18例,子宫肌瘤16例。结果34例患者术后完成随访3~24个月,闭经19例(55.88%),明显改善7例(20.59%),改善7例(20.59%),月经未改善1例(2.94%)。术后随访3个月月经过多症状消失,治疗有效率在100%,随访2年后仍达93.3%。结论微波子宫内膜去除术是一种新的治疗异常子宫出血的方法,简便,快捷,安全,并发症少,避免子宫腔镜子宫内膜电切术的液体灌注,手术中的出血及子宫穿孔的危险,并取得了与之相似甚至更好的疗效。
Objective To investigate the curative effect and completeness of microwave endometrial ablation in treating abnormal uterine bleeding. Methods 34 cases of abnormal bleeding were treated by microwave endometrial ablation, including 18 cases of dysfunctional uterine bleeding and 16 cases of uterine fibroids. Results 34 patients were followed up for 3-24 months, 19 were amenorrhea (55.88%), 7 (20.59%) were improved, 7 (20.59%) were improved, and 1 patient (2. After 3 months of follow-up, symptoms of menorrhagia disappeared. The effective rate of treatment was 100%. After 2 years of follow-up, the rate was still 93.3%. Conclusion Microwave endometrial ablation is a new method for the treatment of abnormal uterine bleeding, which is simple, rapid and safe with few complications and avoids liquid perfusion of hysteroscopic endometrial resection, bleeding during operation and uterine perforation The danger, and achieved similar or even better therapeutic effect.