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经宫颈子宫内膜切除术

Transcervical endometrial resection.

作者信息

Erian M M, Goh J T

机构信息

Department of Obstetrics and Gynaecology, B Floor, Clinical Sciences Building, Royal Brisbane Hospital, Herston, Queensland 4029, Australia.

出版信息

J Am Assoc Gynecol Laparosc. 1996 Feb;3(2):263-6. doi: 10.1016/s1074-3804(96)80010-7.

DOI:10.1016/s1074-3804(96)80010-7
PMID:9050637
Abstract

STUDY OBJECTIVES

To determine the safety and efficacy of endometrial resection, and to provide an indicator of the operative problems and treatment outcomes.

DESIGN

Prospective study.

SETTING

Academic practice tertiary care setting.

PATIENTS

One hundred twenty-six consecutive women undergoing endometrial resection because of menorrhagia, who wished to retain their uterus.

INTERVENTION

Hysteroscopic endometrial resection performed as a day procedure.

MEASUREMENTS AND MAIN RESULTS

In 126 women, 2 cases of uterine perforation were readily identified on the operating monitor screen; they had no serious sequelae. Three patients had heavy uterine bleeding, which was controlled by intrauterine tamponade. No women had other serious complications.

CONCLUSION

Hysteroscopic endometrial resection is a safe, successful, and cost-effective treatment of menorrhagia.

摘要

研究目的

确定子宫内膜切除术的安全性和有效性,并提供手术问题及治疗结果的指标。

设计

前瞻性研究。

地点

学术性三级医疗中心。

患者

126例因月经过多而接受子宫内膜切除术且希望保留子宫的连续女性患者。

干预措施

宫腔镜下子宫内膜切除术作为日间手术进行。

测量指标及主要结果

126例女性患者中,术中监测屏幕上很容易识别出2例子宫穿孔,无严重后遗症。3例患者子宫出血严重,通过宫腔填塞得以控制。无其他严重并发症。

结论

宫腔镜下子宫内膜切除术是一种安全、成功且具有成本效益的月经过多治疗方法。

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1
Transcervical endometrial resection.经宫颈子宫内膜切除术
J Am Assoc Gynecol Laparosc. 1996 Feb;3(2):263-6. doi: 10.1016/s1074-3804(96)80010-7.
2
Hysteroscopic endometrial ablation without endometrial preparation.未进行子宫内膜预处理的宫腔镜子宫内膜切除术。
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Transcervical endometrial resection: long-term results of 390 procedures.经宫颈子宫内膜切除术:390例手术的长期结果
Acta Obstet Gynecol Scand. 2006;85(1):82-7. doi: 10.1080/00016340500424314.
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Hysteroscopic endometrial resection versus laparoscopic supracervical hysterectomy for menorrhagia: a prospective randomized trial.宫腔镜子宫内膜切除术与腹腔镜次全子宫切除术治疗月经过多的前瞻性随机试验
Am J Obstet Gynecol. 2003 Jan;188(1):7-12. doi: 10.1067/mob.2003.60.
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Transcervical resection of endometrium in women with menorrhagia.月经过多女性的经宫颈子宫内膜切除术
BMJ. 1989 May 6;298(6682):1209-12. doi: 10.1136/bmj.298.6682.1209.
9
Experience with the first 250 endometrial resections for menorrhagia.
Lancet. 1991 May 4;337(8749):1074-8. doi: 10.1016/0140-6736(91)91718-a.
10
Endometrial resection vs. abdominal hysterectomy for menorrhagia. Correlated sample analysis.子宫内膜切除术与经腹子宫切除术治疗月经过多的相关性样本分析
J Reprod Med. 1996 May;41(5):333-6.