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目的:探讨热球子宫内膜治疗仪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52例经热球子宫内膜去除术治疗的围绝经期功血患者为观察组,50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短于对照组(15.5±2.8 min vs 21.6±3.6 min),术中出血量少于对照组(12.3±5.7 ml vs 22.8±7.6 ml),两组比较差异均有统计学意义(P<0.01);观察组总有效率为98.1%,对照组总有效率为92.0%,差异无统计学意义(P>0.05);观察组术后无月经及点滴量月经率明显高于对照组(P<0.01)。结论:热球子宫内膜去除术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。
Objective: To investigate the clinical effect of thermal ball endometrial therapeutic apparatus in treating peri-menopausal dysfunctional uterine bleeding (referred to as dysfunctional uterine bleeding). Methods: Fifty-two patients with perimenopausal dysfunctional uterine bleeding treated by hot-bulb endometrial ablation were selected as the observation group. Fifty patients undergoing hysteroscopic endometrial resection were selected as control group. The operative time , Blood loss and clinical efficacy were compared. Results: The operation time of the observation group was significantly shorter than that of the control group (15.5 ± 2.8 min vs 21.6 ± 3.6 min), and the intraoperative blood loss was less than that of the control group (12.3 ± 5.7 ml vs 22.8 ± 7.6 ml) (P <0.01). The total effective rate was 98.1% in the observation group and 92.0% in the control group, with no significant difference (P> 0.05). The menstruation rate of the observation group without menstruation and drip amount was significantly Higher than the control group (P <0.01). Conclusion: It is a safe, simple and effective method to treat peri-menopausal dysfunctional uterine bleeding with thermal ball endometrial ablation.