摘要
目的:研究宫腔镜治疗功能失调性子宫出血的最佳治疗方式。方法:回顾性分析本院2009年2月～2010年2月妇产科收治的80例功能失调性子宫出血的患者,随机分为联合治疗组(40例)和单纯治疗组(40例)。联合治疗组采用宫腔镜和达那唑联合治疗,单纯治疗组仅适用宫腔镜。结果:两组在治疗后需进行刮宫手术的患者的比例差异无统计学意义(χ2=0.37,P>0.05),两组在宫腔镜治疗时测量手术时的平均内膜厚度、术时灌流液用量,切除组织重量和手术持续时间等进行统计学分析后,差异均有统计学意义(P<0.05)。两组总随访记录患者临床疗效差异无统计学意义(χ2=0.21,P>0.05)。结论:宫腔镜联合达那唑治疗功能失调性子宫出血可以明显改善病变的厚度,减少了手术操作的难度,提高手术切除的完整性,减小手术时间,降低患者的手术痛苦,不良反应较少,具有临床应用和推广价值。
Objective：To study the best treatment of hysteroscopy on the treatment of dysfunctional uterine bleeding.Methods：An retrospective analyzed was conducted for all 80 cases of obstetrics and gynecology dysfunctional uterine bleeding in our hospital in February 2009 to February 2010.80 cases were randomly divided into combined treatment group（40 cases） and simple treatment group（40 cases）.Combined treatment group was treated by hysteroscopy and danazol therapy and only hysteroscopy for simple treatment group.Results：The difference between the cases of the two groups who need surgical curettage was no significant（χ2=0.37,P0.05）.The difference of average endometrial thickness,surgical removal of tissue weight and duration between the two groups was statistically significant（P0.05）.The total follow-up of two groups of patients with clinical records was no significant difference（χ2=0.21,P0.05）.Conclusion：The treatment of hysteroscopy with danazol in treating dysfunctional uterine bleeding can be significantly improve lesion thickness,reduce the difficulty of surgical procedures,improve the integrity of surgery,reduce operative time,reduce the patients＇ surgical pain,and reduce the adverse reactions with clinical application and popularization.
出处
《中国当代医药》
2011年第27期38-39,共2页
China Modern Medicine
