Larsen J S, Møller B R, Ahrons S
Gynaekologisk/obstetrisk afdeling D, Odense Universitetshospital.
Ugeskr Laeger. 1996 Nov 4;158(45):6444-7.
The effectiveness of transcervical resection of the uterine endometrium was assessed in 106 consecutive women admitted for surgical treatment for menstrual disorders, suitable for treatment with endometrial resection. No hormonal pretreatment was given. Amenorrhoea occurred in about 25%; 80% were satisfied after the initial treatment and 86% were satisfied if the procedure was repeated after at least one year postoperatively. The results were the same in 34 (32%) who had fibroids or polyps in the uterine cavity. No serious operative or postoperative complications appeared. Seven patients (6.6%) required temporary tamponade to control bleeding. It is concluded that endometrial resection is an advance in the management of menstrual disorders. The satisfaction in the patients is high and the complication rate low.
对106例因月经紊乱入院接受手术治疗且适合子宫内膜切除术的连续患者，评估经宫颈子宫内膜切除术的疗效。未进行激素预处理。约25%出现闭经；初始治疗后80%的患者感到满意，术后至少一年重复手术时86%的患者感到满意。宫腔内有肌瘤或息肉的34例（32%）患者结果相同。未出现严重的手术或术后并发症。7例患者（6.6%）需要临时填塞以控制出血。结论是子宫内膜切除术是月经紊乱治疗的一项进展。患者满意度高且并发症发生率低。
