宫腔镜下子宫内膜电切术治疗难治性功血的临床疗效分析

Analysis of clinical effect by hysteroscopic transcervical resection of endometrium in the treatment of refractory dysfunctional uterine bleeding

目的探讨宫腔镜下子宫内膜电切术治疗难治性功能失调性子宫出血(功血)的临床疗效。方法 45例难治性功血患者,依据治疗措施不同分为子宫内膜电切术组(30例)和达英-35组(15例),分别给予子宫内膜电切术及达英-35治疗,观察比较两组疗效。结果子宫内膜电切术组患者临床治疗总有效率高于达英-35组(P<0.05)。结论宫腔镜下子宫内膜电切术治疗难治性功血临床疗效明显,值得推广。

Objective To investigate clinical effect by hysteroscopic transcervical resection of endometrium in the treatment of refractory dysfunctional uterine bleeding. Methods A total of 45 refractory dysfunctional uterine bleeding patients were divided by different treatment measures into transcervical resection of endometrium group（30 cases） and Diane-35 group（15 cases）, and they received respectively transcervical resection of endometrium and Diane-35 for treatment. Curative effects of the two groups were observed and compared. Results Transcervical resection of endometrium group had higher total effective rate than the Diane-35 group（P〈0.05）. Conclusion Hysteroscopic transcervical resection of endometrium provides precisely clinical effect in the treatment of refractory dysfunctional uterine bleeding, and it is worth promoting.