| 摘要: |
| 目的 探讨宫腔镜子宫内膜射频消融术治疗围绝经期妇女功能失调性子宫出血（功血）的临床疗效以及安全性。方法 选取该院妇产科2013-07～2016-06收治的围绝经期功血患者116例，采用随机数字表法分为研究组和对照组，每组58例，对照组行宫腔镜子宫内膜电切术治疗，研究组行宫腔镜子宫内膜射频消融术治疗，比较两组的手术时间、术中出血量、住院时间、临床疗效以及术后并发症的发生率，对所有患者随访6个月，比较治疗前后的血红蛋白（Hb）水平变化。结果 与对照组比较，研究组手术时间、术中出血量以及住院时间均显著减少，差异有统计学意义（P＜0.05）；研究组临床总有效率高于对照组，但差异无统计学意义（x2=0.703，P＞0.05）；研究组术后并发症发生率为3.45%，显著低于对照组的17.24%，差异有统计学意义（x2=5.949，P＜0.05）；两组患者治疗后血红蛋白（Hb）水平均显著高于治疗前，差异有统计学意义（P＜0.05）；两组治疗后血红蛋白（Hb）之间比较，差异无统计学意义（P＞0.05）。结论 宫腔镜子宫内膜射频消融术治疗围绝经期功血患者的临床效果比较确切，对患者的损伤较小，术后并发症较少，能有效缓解患者的贫血情况，值得在临床上推广应用。 |
| 关键词: 宫腔镜 子宫内膜射频消融术 子宫内膜电切术 围绝经期 功能失调性子宫出血 |
| DOI： |
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| Safe Observation and Clinical Effects on Women’s Perimenopausal Dysfunctional Bleeding Treated by Hysteroscopic Endometrial Radiofrequency Ablation |
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Guo Jie
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Department of obstetrics,Shengma Hospital of Kaifeng New District,Kaifeng City
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| Abstract: |
| Objective To observe the clinical effects and safety of hysteroscopic endometrial radiofrequency ablation and endometrial electroresection in the treatment of women’s perimenopausal dysfunctional bleeding. Methods From July 2013 to June 2016, a total of 116 cases of patients with perimenopausal dysfunctional bleeding in obstetrics of our hospital were enrolled, and were randomly divided into research group treated by hysteroscopic endometrial electroresection and control group treated by hysteroscopic endometrial radiofrequency ablation. Each group had 58 cases respectively. The operation time, intraoperative blood volume, hospital stays, clinical effects and incidence of postoperative complications of two groups were compared. All the patients were followed-up with 6 months, the changes of level of hemoglobin (Hb) before and after treatment were compared. Result Compared with the control group, the operation time, intraoperative blood volume and hospital stays of research group all showed significant and statistical difference (P<0.05); total effective rate of research group is higher than that of the control group, but the difference showed no statistical significance (x2=0.703, P>0.05); the incidence of postoperative complications of research group was 3.45%, which is significantly lower that that of the control group(17.24%), and the difference showed statistical significance (x2=5.949，P＜0.05); the level of hemoglobin (Hb) in the two groups after the treatment was significantly higher than that before the treatment, the difference was statistically significant (P<0.05); after the treatment, comparing the level of Hb in the two groups showed no statistical significance (P>0.05). Conclusion Hysteroscopic endometrial radiofrequency ablation in the treatment of patients with perimenopausal dysfunctional bleeding had definite and certain clinical efficacy, caused little injury for patients, lowered complications in postoperation, and effectively eased the anemia in patients, which is worth clinical promotion and application. |
| Key words: :Hysteroscopy Endometrial Radiofrequency Ablation Endometrial Electroresection Perimenopausal Dysfunctional Bleeding |
