宫腔镜子宫内膜切除术联合妇康片治疗异常子宫出血疗效观察

Clinical analysis on the treatment of hysteroscopic resection and norethisterone in abnormal uterine bleeding

目的分析宫腔镜子宫内膜电切术联合妇康片治疗异常子宫出血的效果。方法应用宫腔镜电切术治疗子宫黏膜下肌瘤38例,子宫内膜息肉26例,复杂型子宫内膜增生16例。所有病例术前1个月及术后3个月服用妇康片7.5 mg/d。随访治疗后症状改善情况。结果术后随访3-18个月,子宫黏膜下肌瘤总有效率92.10%(36/38),子宫内膜息肉总有效率84.61%(22/26),复杂型子宫内膜增生总有效率93.75%(15/16)。结论宫腔镜电切术联合妇康片治疗子宫黏膜下肌瘤、子宫内膜息肉、复杂型子宫内膜增生等异常子宫出血效果好,创伤小,恢复快,复发少。

Objective To analyse the efficacy of hysteroscopic resection and norethisterone in abnormal uterine bleeding. Methods 38 cases of submucos myoma of uterine body, 26 cases of endometrium polyps and 16 cases of complex hyperplasis of endometrium were treated with hysteroscopic resection, and all the cases take norethisterone for one month before hysteroscopic resection and go on taking norethisterone for three months after operation. All the cases were followed up with the improvement of symptoms and the chang of uterine cavity. Results All the cases were followed up for 3 ~ 18 months after operation. The efficacy of submucous myoma of uterine body was 92.10 % （36/38） and that of endometrium polyps was 84.61% （22/26） and that of complex hyperplasis of endometrium was 93.75 % （15/16）. Conclusion The treatment of hysteroscopic resection and norethisterone in submucous myoma, endometrium polyps and complex hyperplasis has advantages of satisfied results, slight trauma, fast recovery and fewer recurrence relapse.