Tapper A M, Heinonen P K
Department of Obstetrics and Gynecology, University Hospital of Tampere, Finland.
Eur J Obstet Gynecol Reprod Biol. 1995 Sep;62(1):75-9. doi: 10.1016/0301-2115(95)02177-9.
The aim of the study was to determine the effectiveness of hysteroscopic endomyometrial resection in the treatment of menorrhagia.
Eighty-six women with menorrhagia underwent hysteroscopic endomyometrial resection between November 1990 and November 1993. The surgery was carried out under spinal anesthesia in 54 (64%) of the patients. A standard resectoscope was used and the uterine cavity distended with 2.2% glycine. The mean follow-up period was 22 months (range 4-39).
No major complications occurred and no fluid overload was reported. One episode of uterine perforation, one of pelvic infection, five episodes of postspinal headache and four of hematometra were recorded. Hysterectomy was performed in five cases. Follow-up information was available on 79 (92%) patients. Amenorrhea was achieved in 20 (25%) patients and hypomenorrhea in 44 (56%) patients. Only three (4%) patients showed no improvement in menstrual flow.
Hysteroscopic endomyometrial resection is a safe and effective mode of treatment for menorrhagia in selected patients.
本研究旨在确定宫腔镜下子宫内膜切除术治疗月经过多的有效性。
1990年11月至1993年11月期间，86例月经过多的女性接受了宫腔镜下子宫内膜切除术。54例（64%）患者在脊髓麻醉下进行手术。使用标准的电切镜，子宫腔用2.2%的甘氨酸扩张。平均随访期为22个月（范围4 - 39个月）。
未发生重大并发症，也未报告液体超负荷情况。记录到1例子宫穿孔、1例盆腔感染、5例脊髓穿刺后头痛和4例子宫积血。5例患者接受了子宫切除术。79例（92%）患者有随访信息。20例（25%）患者实现闭经，44例（56%）患者月经过少。只有3例（4%）患者月经流量无改善。
宫腔镜下子宫内膜切除术是治疗特定患者月经过多的一种安全有效的治疗方式。
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