试析宫腔镜子宫内膜电切术治疗功能失调性子宫出血的临床效果及对卵巢功能的影响

Clinical Effect of Hysteroscopic Endometrial Electroresection in the Treatment of Dysfunctional Uterine Bleeding and its Effect on Ovarian Function

目的探究宫腔镜子宫内膜电切术治疗功能失调性子宫出血(简称功血)的临床效果及对卵巢功能的影响。方法回顾性选取洛阳东方医院的78例功能失调性子宫出血的患者作为观察对象,将使用腹腔镜子宫全切除术保留双侧卵巢的39例患者列为A组,将使用宫腔镜子宫内膜电切术治疗的39例患者列为B组,对比两组患者的手术情况、血红蛋白水平以及卵巢功能。结果两组患者经治疗后,血红蛋白均比治疗前有显著提升(P<0.05);B组的LH、E2以及FSH明显比A组更接近正常水平(P<0.05);B组的术后排气时间、术后下床活动时间与住院时间均明显短于A组,差异具有统计学意义(P<0.05)。结论宫腔镜子宫内膜电切术治疗功能失调性子宫出血时可在不对卵巢功能造成较大影响的情况下显著改善患者的贫血情况,同时还具有缩短病程、促进恢复的效果,因此具备临床推广价值。

Objective To investigate the clinical effect of hysteroscopic endometrial electroresection on dysfunctional uterine bleed ing(dysfunctional uterine bleeding)and its effect on ovarian function. Methods 78 patients with dysfunctional uterine bleeding in the hospital were retrospectively selected. 39 patients with bilateral ovaries preserved by laparoscopic hysterectomy were selected as group A. A total of 39 patients treated with hysteroscopic endometrial electrotomy were divided into group B. The operation status,hemoglobin lev el and ovarian function between the two groups were compared. Results After treatment,hemoglobin in both groups was significantly higher than that before treatment(P<0.05). The LH,E2 and FSH of group B were significantly closer to the normal level than group B(P <0.05). The time of exiting from bed and hospitalization time of group B were significantly shorter than those of group A. The difference was statistically significan(t P<0.05). Conclusion Hysteroscopic endometrial electroresection for dysfunctional uterine bleeding can sig nificantly improve anemia,shorten the course of disease and promote recovery. Therefore,it has clinical promotion value.