UBT与TCRE治疗功能失调性子宫出血的比较

UBT Versus TCRE in Treatment of Dysfunctional Uterine Bleeding

的:比较热球系统(UBT)与宫腔镜经宫颈子宫内膜切除术(TCRE)治疗功能失调性子宫出血的疗效。方法:功能失调性子宫出血患者60例,2种术式各30例,术后随访6个月。结果:2种术式有效率均为100%,UBT手术时间及术中出血明显少于宫腔镜子宫内膜电切术(P<0.001),UBT无并发症发生,术后患者恢复快,TCRE 2例发生并发症,无失败病例。结论:UBT治疗功能失调性子宫出血效果理想,操作简单,手术时间短,术中出血少,并发症少,术后恢复快。

Objective：To compare the c;omoca; efficacy of a thermal uterine balloon system with transcervical resection of endometrium in the treatment of dysfunctional uterine bleeding.Methods：60 patients with dysfunctional uterine bleeding were divided into two groups,one group was given uterine balloon therapy and the other received transcervical resection of endometrium.Both of them were followed up postoperatively for 5 months.Results：The clinical efficacy of both operation forms are 100%,the operative time and hemorrhage in the operations of ulerine balloon therapy is much less than them of transcervical resection of endometrum（P〈0.01）,there is no complication with uterine balloon therapy and the patients recover rapidly.Besides,2 complications appeared in transcervical resection of endometrium,but there is no failure.Conclusions：Uterine balloon therapy appears to be efficacious in curing dysfuncional uterine bleeding ,and it is easy to perform,with short operative time,less hemorrbag in the operation,less complication,and patients recover rapidly.