诺舒与热球子宫内膜去除术治疗异常子宫出血的效果对比

Efficacy comparison of abnormal uterine bleeding treated by NovaSure and Thermal balloon en-dometrial ablation

目的：对比分析诺舒子宫内膜去除术和热球子宫内膜去除术治疗异常子宫出血的临床效果。方法对2013年2月至2015年2月80例异常子宫出血患者进行研究，随机分为对照组和观察组，对照组采用热球子宫内膜去除术进行治疗，观察组采用诺舒子宫内膜去除术进行治疗，对比观察两组患者的治疗效果以及术后并发症的发生情况。结果两组闭经率在术后第1、6个月相比差异未见统计学意义（P ﹥0.05），但在第12、18个月时差异有统计学意义（P ﹤0.05）；两组总有效率相比差异未见统计学意义（P ﹥0.05）；对照组低热和腹痛等不良反应总发生率（22.5％）显著高于观察组（5.0％），差异有统计学意义（P ﹤0.05）。结论采用诺舒子宫内膜去除术和热球子宫内膜去除术治疗异常子宫出血患者均可以取得较好的效果，但诺舒子宫内膜去除术操作简单、效果更佳，并且显著降低了术后并发症的发生率，安全性较高，值得进一步推广运用。

Objective To contrastively analyze the clinical effects of NovaSure and Thermal bal-loon endometrial ablation on abnormal uterine bleeding. Methods From February 2013 to February 2015,80 patients with abnormal uterine bleeding were randomly divided into the control group and the treatment group. The control group was treated by thermal balloon endometrial ablation,and the treat-ment group was treated by NovaSure endometrial ablation. The treatment effects and occurrence of postop-erative complications were compared. Results There was no significant difference in the amenorrhea rate of the first and sixth month after treatment（ P ﹥ 0. 05）,but at the twelfth and eighteenth month, there was significant difference（P ﹤ 0. 05）. There was no significant difference in the total effective rate between the two groups（P ﹥ 0. 05）. The total rate of the adverse reactions such as the low-grade fever, stomachache in the control group（22. 5% ）was significantly higher than that of the treatment group （5% ）,there was significant difference（P ﹤ 0. 05）. Conclusions The effects of NovaSure and Thermal balloon endometrial ablation on abnormal uterine bleeding treated are good,but the NovaSure endometrial ablation is simplicity of operator and has better effect,and can greatly reduce the rate of postoperative complications with high security,so it is worthy for promotion.