摘要
目的 探讨宫腔镜电切手术前机械性子宫内膜预处理的应用价值。方法 选择有手术指征的异常子宫出血患者 6 8例 ,使用被动式连续灌流电切镜行子宫内膜切除 36例 ;子宫肌瘤切除加子宫内膜切除 11例 ;子宫内膜息肉切除加子宫内膜切除 2 1例。电切术前均采用刮匙自上而下顺时针遍刮宫腔 2遍。将切下的宫内组织条进行病理检查 ,观察测量组织厚度。随访观察月经改善及预后情况。结果 手术均顺利完成。子宫内膜切除标本 ,内膜厚度小于 2 .0mm ,标本均包括浅肌层 2 .0～ 2 .5mm。术后随访平均 2 0个月 ,月经改善总有效率 91.2 %。结论 宫腔镜电切手术前机械性子宫内膜预处理可薄化子宫内膜 ,保证子宫内膜切除的手术效果 ,是一种经济、有效、患者容易接受的子宫内膜预处理方法。
Objective:To evaluate the efficacy of mechanical preparation of the endometrium prior to endometrial ablation.Methods:Sixty-eight women with AUB were treated by hysteroscopic electric resection of the endometrium with a continuous flow resectoscope. Among them, 36 cases with dysfunctional uterine bleeding received TCRE, 11 cases with submucous myomas received TCRM and TCRE, 21 cases with endometrial polyps received TCRP and TCRE, the endometrial cavity was denuded by curettage just before ablation. All specimens of ablation were confirmed by pathologic examination. The thickness of the endometrium was measured.All the patients were followed. Results:The procedure was completed in all cases and we had no serious complications. The endometrial thickness measurements were < 2 mm. The mean follow-up time was 20 months from the time of the procedure. The effective rate of menstrual symptoms ameliorated was in 91.2% of the patients. Conclusion: Mechanical preparation of the endometrium prior to endometrial ablation may reduce endometrial thicknessis. It is appear to be the effective and acceptable pretreatment regimens.
出处
《中国内镜杂志》
CSCD
2004年第4期32-34,共3页
China Journal of Endoscopy
关键词
子宫不规则出血
扩刮术
电外科手术
metrorrhagia
dilation and curettage (D & C)
electrosurgery
