热球子宫内膜去除术治疗功血的临床分析

The clinical analysis of thermal balloon endometrial ablation on dysfunctional uterine bleeding

目的:探讨热球子宫内膜治疗仪治疗功能失调性子宫出血的疗效。方法:对58例功血患者进行病例对照研究,分别采用热球型子宫内膜治疗仪和宫腔镜子宫内膜电切术进行治疗,观察疗效、并发症。结果:热球子宫内膜去除术和宫腔镜子宫内膜电切术治疗功血的总有效率无明显差异,但热球法无月经及点滴量月经率高,且手术时间短,并发症少。结论:热球子宫内膜去除术治疗功血疗效确切,是—种安全、简便、微创的方法。

Objective： To discuss the effect of the thermal balloon endometrial ablation（TBEA） on cases with dysfunctional uterine bleeding. Methods： Case - control study was made in 58 cases with dysfanctional uterine bleeding, respectively treated by TBEA and transcervical resection of endometrium （TCRE）. The efficiency and complications were observed. Results： The total efficiency between two groups was not significantly different. The rate of amenorrhea and spotting in the experimental group was higher, the operative time was shorter, and the incidence rate of complications was lower than the control group. Conclusions： TBEA is the safer, simpler and more effective microtranma operation of dysfunctional uterine bleeding.