摘要
目的：探讨宫腔镜子官内膜去除术（EA）治疗功能失调性子宫出血（DUB）的近期疗效。方法：应用官腔镜对63例DUB患者进行子宫内膜去除术，术后28例患者给予孕兰烯酮口服，2．5 mg／次，每周2次，疗程3个月。所有患者术后随访6～24个月。结果：EA＋孕三烯酮组月经改善率为85．7％，其中闭经率为28．6％；月经量减少率为46．4％。而单纯EA组月经改善率为65．7％，其中闭经率为20．0％；月经量减少率为28．6％。两组相比较有显著性差异，P〈0．05。结论：官腔镜子宫内膜去除术是一种治疗功能性子宫出血安全、有效的方法；规范手术操作和术后药物干预可提高疗效。
Objective：To investigate the efficiency of EA in treating women with dysfunctional uterine bleeding（DUB）. Methods：Sixty--three women with DUB received EA. Other 28 cases were given gestrinone 2.5 mg/time, 2 times/week for three months. All of women were followed up. Results：The efficiency of the treatments in all patients were noted six months after EA. Menstrual symptoms amelioration rate of the EA with gestrinone group was 85.7 %,in which amenorrhea rate was 28.6% ;menstruation reduction rate was 46.4%. While mensti＇ual symptoms amelioration rate of the EA group was 65.7% ,in which amenorrhea rate was 20.0%; menstruation reduction rate was 28.6%. The patients treated with EA followed by medicine treatment achived more effect than the others treated with EA only. Conclusion： EA is a safe and effective treatment for DUB, standardizing the procedures and medicine treatment after the operation could improve the efficiency of EA.
出处
《实用临床医学（江西）》
CAS
2006年第5期95-96,99,共3页
Practical Clinical Medicine
关键词
宫腔镜检查
电外科手术
月经失调
子宫内膜
药物治疗
hysteroscopy
electrosurgery
menstruation disturbances
endometrium
medicine treatment
