诺舒阻抗与宫腔镜两种子宫内膜切除术的比较研究

A Comparative Study of Two Types of Transcervical Resection of Endometrium between NovaSure Impedance and Hysteroscopy

探讨诺舒阻抗子宫内膜切除术在月经过多患者中的临床应用及优越性。将我院2010年1月至2014年5月行诺舒阻抗子宫内膜切除术的57例患者,纳为治疗组。同期宫腔镜单极子宫内膜切除术的45例患者,纳为对照组,比较两组患者术中情况及术后随访各项指标。发现治疗组的手术时间、术中出血量、膨宫液吸收量、电解质紊乱、术后阴道出血时间、阴道排液时间、宫腔积血、宫腔粘连、药物辅助治疗、再次手术(全子宫切除术)均低于对照组,组间对比有统计学意义(P<0.05)。诺舒阻抗子宫内膜切除术具有学习曲线短、手术易掌握、操作安全、疗效肯定的优点,是目前子宫内膜切除术的首选方法。

To explore the advantages of NovaSure impedance and clinical application in patients with menorrhagia, the author did a retrospective analysis in January 2010 to May 2014. 57 patients who were performed NovaSure impedance technique were in treatment group, and 45 patients received transcervical resection of endometrium through hysteroscopy were in the control group. We compared two groups of patients with intraoperative and postoperative follow-up of the indicators. The operation time, the amount of bleeding during operation, uterine distention fluid absorption, electrolyte disturbance, the time of vaginal bleeding, the time of vaginal discharge, uterine bleeding, intrauterine adhesious, drug treatment, complete hysterectomy were lower than the control group. Comparison between the two groups had statistical significance （P〈0.05）. NovaSure impedance has a short learning curve, easy to master, procedure for safe operation, the advantages of curative effect affirmation. NovaSure Impedance is the preferred method of transcervical resection of endometrium.