摘要
目的：探讨宫腔镜电切术治疗肥胖患者子宫异常出血的疗效。方法：应用美国Stryker公司生产的27F被动式连续灌流宫腔电切镜，对82例子宫异常出血患者进行宫腔镜电切手术治疗，其中功能性子宫出血46例，子宫内膜息肉36例。结果：82例均1次顺利完成手术，手术时间15—45min，术后随访5～36个月，月经改善率96．5％，其中无月经18．8％，月经减少45．4％，月经正常31．6％。结论：宫腔镜电切治疗肥胖患者异常子宫出血是一种安全、有效的手术方式，围手术期评估充分、准备完善，可降低此类患者的手术及麻醉风险。
Objective： To explore the effect of hysteroscopic electrotomy on abnormal uterine bleeding of fat patients. Methods： 82 patients with abnormal uterine bleeding underwent hysteroscopic electrotomy, including 46 cases of functional uterine bleeding and 36 cases of endometriaJ polyps. Results： All the 82 patients completed the operation once, the operation time was 15 -45 minutes, menstruation improvement rate was 96. 5% after 5 - 36 months follow - up. The rates of amenorrboea, spanomenorrhea and eumenorrhea were 18.8% , 45.5% and 31.6%, respectively. Conclusion： Hysteroscopic electrotomy is a safe, effective operation in the treatment of abnormal uterine bleeding combined with obesity. Sufficient perioperative evaluation and consummate preparation can cut down operation and anesthesia risk.
出处
《中国妇幼保健》
CAS
北大核心
2009年第24期3451-3452,共2页
Maternal and Child Health Care of China
关键词
肥胖
子宫异常出血
宫腔镜电切术
电外科手术
Obesity
Abnormal uterine bleeding
Hysteroscopic electrotomy
Eleetrosurgery
