Hunter D C, McClelland H R
Belfast City Hospital.
Ulster Med J. 1998 May;67(1):29-32.
We have evaluated the quality of service provided in performing trans cervical resection of the endometrium (TCRE) in the treatment of women presenting with menstrual dysfunction. Of the 78 patients who underwent TCRE, ten had, at the time of writing, subsequently undergone hysterectomy. A chart review was carried out on those patients. Two others were on the waiting list for hysterectomy. Sixty-one of 68 (90%) patients responded to the postal questionnaires. Of these, 50 (82%) were satisfied with the result of the procedure. Twenty-three (38%) were rendered amenorrhoeic. Thirty-eight still had bleeding, but of these, 19 (31%) had very light regular periods and 13 (21%) had only an occasional stain. Overall, 90% of women felt that there had been an improvement in their bleeding. Six (10%) women claimed that there had been no improvement. TCRE is a safe and effective alternative to hysterectomy or medical treatment for the treatment of menstrual dysfunction.
我们评估了在治疗月经功能紊乱的女性中进行经宫颈子宫内膜切除术（TCRE）时所提供的服务质量。在接受TCRE的78例患者中，截至撰写本文时，有10例随后接受了子宫切除术。对这些患者进行了病历审查。另外2例在等待子宫切除术。68例患者中有61例（90%）回复了邮寄问卷。其中，50例（82%）对手术结果满意。23例（38%）闭经。38例仍有出血，但其中19例（31%）有非常少量的规律月经，13例（21%）只是偶尔有少量血迹。总体而言，90%的女性认为她们的出血情况有所改善。6例（10%）女性声称没有改善。对于月经功能紊乱的治疗，TCRE是子宫切除术或药物治疗的一种安全有效的替代方法。
