μm激光子宫内膜去除术与宫腔镜内膜电切术治疗围绝经期功血的临床研究

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1、2μm激光子宫内膜去除术与宫腔镜内膜电切术治疗围绝经期功血的临床研究梅松原孙晓波刘桂芝韩秋丽石岩(哈尔滨242医院妇产科,哈尔滨150066)　　【摘要】目的:探讨宫腔镜2μm激光治疗围绝经期功能失调性子宫出血(简称功血)的临床疗效。方法:以26例宫腔镜2μm激光子宫内膜去除术治疗的围绝经期功血患者为观察组，26例经宫腔镜子宫内膜电切术治疗的患者为对照组，对两组的手术时间、术中出血量及临床疗效进行比较。结果:观察组的手术时间明显长于对照组(16.9±4.5minvs13.9±3.8min)，术中出血量少于对照组(10.6±3.5mlvs14.2±4.2ml)，两组比较差异均

2、有统计学意义(P＜0.05);观察组总有效率为92.3%，对照组总有效率为96.2%，差异无统计学意义(P＞0.05)。结论:宫腔镜2μm激光治疗围绝经期功血疗效确切，并发症少，是一种安全、简便、有效的方法，但对其长远疗效尚须进一步观察。【关键词】宫腔镜；2μm激光;子宫内膜去除术;功能失调性子宫出血;ClinicalstudyonclimactericdysfunctionaluterinebleedingtreatedwithRevoLix2microncontinuouswavelaservaporesectionandhysteroscopicendometrial

3、electroresectionMEISongYuan，SUNXiaoBo,LIUGuiZhi，etal.DepartmentofGynecologyandObstetrics，harbin242Hospital，Harbin150066，China〔Abstract〕Objective:ToexploretheclinicalcurativeeffectofRevoLix2microncontinuouswavelaservaporesectionintreatmentofpatientswithclimactericdysfunctionaluterinebleedin

4、g.Methods:26patientswithclimactericdysfunctionaluterinebleedingwhoweretreatedwithRevoLix2microncontinuouswavelaservaporesectionwereselectedasobservationgroup，and26patientswithclimactericdysfunctionaluterinebleedingwhoweretreatedwithhysteroscopicendometrialelectroresectionwereselectedascont

5、rolgroup，theoperationtimes，theamountsofbloodlossduringoperationandclinicalcurativeeffectsinthetwogroupswerecompared.Results:Theoperationtimeinobservationgroup〔(16.9±4.5)minutes〕wassignificantlylongerthanthatincontrolgroup〔(13.9±3.8)minutes〕(P＜0.05).Theamountofbloodlossduringoperationinobse

6、rvationgroup〔(10.6±3.5)ml〕wasfewerthanthatincontrolgroup〔(14.2±4.2)ml〕(P＜0.05).Thetotaleffectiveratesinobservationgroupandcontrolgroupwere92.3%and96.2%，respectively，therewasnosignificantdifferencebetweenthetwogroups(P＞0.05).Conclusion:TheclinicalcurativeeffectofRevoLix2microncontinuouswave

7、laservaporesectionisgoodintreatmentofpatientswithclimactericdysfunctionaluterinebleeding，thecomplicationsarefew，whichisasafe，simpleandeffectivemethod.Furtherstudiesarenecessarytoevaluateitslong-termeffect.〔Keywords〕hysteroscopic;RevoLix2microncontinuouswavelas