Zhonghua fu chan ke za zhi · 1999
[Clinical observation of hysteroscopic electric resection: an analysis of 36 patients with abnormal uterine bleeding].
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Yang Y, Tan X, Li P
Аннотация
OBJECTIVE: To assess the efficacy and influences of hysteroscopic electrosurgery in treating abnormal uterine bleeding (AUB).
METHODS: 36 women with AUB received hysteroscopic transcervical resection of the endometrium or intrauterine lesions with a continuous flow resectoscope.
RESULTS: The complications rate was 8.3%. 32 patients were followed for 4 to 12 months. Menstrual symptoms ameliorated in 82.4% of the patients. 5.9% of the women became amenorrhoeic. 58.8% had only spotting, 17.6% recovered normal period. 6 out of the 8 cases with dysmenorrhea had relieved their pain. Satisfactory rate of the procedure was 76.5%. Two patients received hysterectomy later for recurrent uterine bleeding.
CONCLUSION: Hysteroscopic electrosurgery is an effective procedure in treating abnormal uterine bleeding. But its long-term efficacy is yet to be identified. When improving the technique and basic knowledge, the indications should be given appropriatly.
METHODS: 36 women with AUB received hysteroscopic transcervical resection of the endometrium or intrauterine lesions with a continuous flow resectoscope.
RESULTS: The complications rate was 8.3%. 32 patients were followed for 4 to 12 months. Menstrual symptoms ameliorated in 82.4% of the patients. 5.9% of the women became amenorrhoeic. 58.8% had only spotting, 17.6% recovered normal period. 6 out of the 8 cases with dysmenorrhea had relieved their pain. Satisfactory rate of the procedure was 76.5%. Two patients received hysterectomy later for recurrent uterine bleeding.
CONCLUSION: Hysteroscopic electrosurgery is an effective procedure in treating abnormal uterine bleeding. But its long-term efficacy is yet to be identified. When improving the technique and basic knowledge, the indications should be given appropriatly.