宫腔镜诊治功能失调性子宫出血的疗效观察

Clinical Observation of Hysteroscopy Diagnosis and Treatment of Dysfunctional Uterine Bleeding

目的:探讨宫腔镜诊治功能失调性子宫出血的临床疗效。方法:2009年12月至2010年12月对62例功能失调性子宫出血患者行宫腔镜下内膜电切治疗,观察子宫内膜病变情况、月经改善情况、贫血改善情况、激素水平变化情况和并发症发生情况。结果:治疗6个月后,患者出现闭经32例(51.6%),月经量减少25例(40.3%),月经改善总有效率为91.9%;血红蛋白水平较治疗前明显提高(P<0.01),贫血发生率显著减少(P<0.01);血清LH、E2和P水平与治疗前比较无显著变化(P>0.05);术中无并发症发生。结论:宫腔镜诊治功能失调性子宫出血疗效确切、不良反应少,值得临床推广应用。

Objective： To observe the clinical efficacy of hysteroscopy in diagnosis and treatment of dys- functional uterine bleeding. Method： From December 2009 to December 2010,62 cases of patients with dysfunctional uterine bleeding received TCRE under hysteroscopy. The endometrial lesions, menstrual status, incidences of anemia, hormone level changes and operative complication of patients were observed. Result： After 6 months, amenorrhea was 32 cases {51.6% ） , menstrual blood decreased in 25 cases {40.3% ）, and the total effective rate was 91.9% ; hemoglobin levels were significantly increased { P〈0.01 ）, the incidence of anemia was significantly reduced { P〈0.01 } ; serum hormone （ LH）, estradiol { E2 ） and progesterone （P） levels were no significant difference （ P〉0.05 } ; no complications occurred. Conclusion： Hysteroscopy in diagnosis and treatment of dysfunctional uterine bleeding is efficacy, with less adverse reactions. It is worth to be generalization and application.