电视宫腔镜诊治子宫顽固性出血的临床评估

Clinical evaluation of television hysteroscopy in diagnosing and treating intractable uterine bleeding

目的：探讨宫腔镜诊治子宫顽固性出血的方法和疗效。方法：应用持续灌流电视宫腔镜对62例久治不愈的子宫出血患者行电视宫腔镜检查，并根据检查结果进行相应的宫腔镜手术治疗。结果：62例患者进行电视宫腔镜检查．即刻镜下明确子宫出血病因者58例，4例需结合定位活检病理证实镜下诊断。进行宫腔镜手术治疗58例，随访8—26个月，有效率达100％。结论：集检查与手术治疗为一体的电视宫腔镜技术，在诊治子宫顽固性出血中是高效、安全、快速、微创的方法。

Objective To evaluate the hysteroscopy methods and it＇ s diagnostic and therapeutical effects on intractable uterine bleeding. Method Sixty-two cases with intractable uterine bleeding were examined and further treated by means of permanent perfusion television hysteroscopy. Results The diagnosis of fifty-eight cases were confirmed by hysteroscopy, while other four cases were diagnosed combined with the proofs of pathology after locational biopsy. All the 58 cases receiving hysteroscopic operation were cured at the rate of 100% after 8 to 26 months＇ follow-up. Conclusion Television hysteroscopy is a modality that integrates examination and operation, which is highly-effective, safe, rapid and microinvasive.