宫腔镜辅助及B超引导下射频消融治疗异常子宫出血36例

Analysis of therapeutic effects on 36 cases of patients with abnormal uterine bleeding by radiofrequency catheter ablation under B - ultrasonographic guidance associated with hysteroscope

目的探讨在宫腔镜辅助及B超引导下射频消融治疗子宫良性病变引起的异常子宫出血的疗效。方法2006年5月至2008年8月对本院36例术前已排除恶性病变的异常子宫出血的患者行宫腔镜辅助B超引导下射频消融治疗。结果手术时间15～30min。无不良反应发生，术后3个月有效率为94．44％。术中、术后无严重并发症发生。结论宫腔镜辅助B超引导下射频消融治疗良性子宫病变引起的异常子宫出血具有疗效好、微创、操作简单、时间短、安全经济的优点。

Objective To explore the therapeutic effects of patients with abnormal uterine bleeding caused by uterine benign lesion by radiofrequency catheter ablation under B -ultrasonographic guidance associated with hysteroseope. Methods From March 2006 to August 2008,36 patients which were excluded the malignant pathological change before the operation adopt radiofrequency catheter ablation under B - uhrasonographic guidance associated with hysteroscope. Results The operation time was 15 - 30 min and no side reaction occurred. The effective rate after 3 months was 94.44%. There was no severe postoperative complication. Conclusions The treatment with its advantages of safety, low in cost, effectiveness, minimal - invasiveness, easy - operation.