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目的:探讨宫腔镜子宫内膜去除术(EA)治疗异常子宫出血(AUB)的手术指征及疗效。方法:对2010年4月至2012年8月行EA的36例临床资料进行回顾性分析,比较手术前后月经量、血Hb水平,术后6个月刮宫观察子宫组织的病理学改变。结果:术后随访10~30个月,月经改善总有效率为97.2%(35/36),其中闭经36.1%(13/36),月经量减少61.1%(22/36);术后贫血纠正率为94.4%(34/36)。结论:EA是治疗异常子宫出血安全有效的办法,尤其适用于有严重内科合并症的AUB患者,是替代子宫切除的一种治疗方法。
Objective: To investigate the surgical indications and curative effects of hysteroscopic endometrial ablation (EA) in the treatment of abnormal uterine bleeding (AUB). Methods: The clinical data of 36 cases of EA from April 2010 to August 2012 were retrospectively analyzed. The menstrual flow and blood Hb level before and after surgery were compared. The pathological changes of uterus were observed after curettage six months after operation. Results: The total effective rate of menstruation was 97.2% (35/36) after the follow-up period of 10-30 months, of which, 36.1% (13/36) of amenorrhea and 61.1% (22/36) of menstruation decreased; The rate was 94.4% (34/36). Conclusion: EA is a safe and effective method for the treatment of abnormal uterine bleeding. It is especially suitable for AUB patients with severe medical comorbidities and is a replacement for hysterectomy.