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目的探究异常子宫出血应用宫腔镜子宫内膜切除治疗的有效性。方法选取三门峡市陕州区人民医院2012年7月—2016年7月异常子宫出血患者102例随机分组。常规组采用腹式子宫全切手术治疗;宫腔镜组应用宫腔镜子宫内膜切除治疗。比较两组患者异常子宫出血治疗总有效率;操作时间、切口长度、术后恢复时间;感染、血压升高等发生率。结果宫腔镜组患者异常子宫出血治疗总有效率比常规组高,P<0.05;宫腔镜组操作时间、切口长度、术后恢复时间比常规组好,P<0.05;宫腔镜组感染、血压升高等发生率比常规组低,P<0.05。结论异常子宫出血应用宫腔镜子宫内膜切除治疗的有效性高,切口小,可缩短手术时间,减少并发症,加速术后恢复,值得推广。
Objective To investigate the effectiveness of hysteroscopic endometrial ablation in patients with abnormal uterine bleeding. Methods A total of 102 patients with abnormal uterine bleeding from July 2012 to July 2016 in Shanzhou District People’s Hospital of Sanmenxia were randomly divided into two groups. Conventional group using abdominal hysterectomy surgery; hysteroscopy group treated with hysteroscopic endometrial resection. The total effective rate of treatment for abnormal uterine bleeding in two groups was compared. The operation time, incision length, postoperative recovery time, the incidence of infection and blood pressure were compared. Results The total effective rate of treatment of abnormal uterine bleeding in hysteroscopic group was higher than that of conventional group (P <0.05), and the time of hysteroscopic operation, incision length and postoperative recovery time were better than those of conventional group (P <0.05) , The incidence of hypertension and other lower than the conventional group, P <0.05. Conclusions The application of hysteroscopic endometrial resection for the treatment of abnormal uterine bleeding is effective and the incision is small, which can shorten the operation time, reduce the complications and accelerate the recovery after operation. It is worth to be popularized.