Objective: To assess the level of patient satisfaction after transcervical endometrial resection(TCRE) with no preoperative hormonal preparation. Study design: A retrospective audit of a continuous case series was acc...Objective: To assess the level of patient satisfaction after transcervical endometrial resection(TCRE) with no preoperative hormonal preparation. Study design: A retrospective audit of a continuous case series was accomplished on 131 consecutive patients who underwent TCRE for dysfunctional uterine bleeding. Data of postal questionnaires were analysed and subjected to survival analysis. Results: Thirty-three cases were lost to follow-up; thus, the data on 98 of the 131(74.8%)-patients were analysed. The average follow-up period was 94.8 months(60-132). Twenty(20.4%) women required D&C and 15(15.3%) had hysterectomy. In eight of the 15 cases, the indication for hysterectomy was not related with the primary operation. The chance of avoiding hysterectomy reached a plateau after 72 months, at 78.3%(SE: 5.05%). The chance of avoiding D&C at up to 36 months was 98.6%(SE: 1.4%), and reached a plateau after 107 months at 67.11%(SE: 6.1%)-; 55.8%of the patients became amenorrhoeic, the remaining cases reporting good improvements in the amount and duration of bleeding, and dysmenorrhoea. Eighty-six of the 98 patients(88%) were satisfied or very satisfied with the result. Conclusions: TCRE affords reasonable long-term effectiveness in the treatment of dysfunctional uterine bleeding, even without any preoperative hormonal endometrial preparation.展开更多
文摘Objective: To assess the level of patient satisfaction after transcervical endometrial resection(TCRE) with no preoperative hormonal preparation. Study design: A retrospective audit of a continuous case series was accomplished on 131 consecutive patients who underwent TCRE for dysfunctional uterine bleeding. Data of postal questionnaires were analysed and subjected to survival analysis. Results: Thirty-three cases were lost to follow-up; thus, the data on 98 of the 131(74.8%)-patients were analysed. The average follow-up period was 94.8 months(60-132). Twenty(20.4%) women required D&C and 15(15.3%) had hysterectomy. In eight of the 15 cases, the indication for hysterectomy was not related with the primary operation. The chance of avoiding hysterectomy reached a plateau after 72 months, at 78.3%(SE: 5.05%). The chance of avoiding D&C at up to 36 months was 98.6%(SE: 1.4%), and reached a plateau after 107 months at 67.11%(SE: 6.1%)-; 55.8%of the patients became amenorrhoeic, the remaining cases reporting good improvements in the amount and duration of bleeding, and dysmenorrhoea. Eighty-six of the 98 patients(88%) were satisfied or very satisfied with the result. Conclusions: TCRE affords reasonable long-term effectiveness in the treatment of dysfunctional uterine bleeding, even without any preoperative hormonal endometrial preparation.
