【摘要】 目的　探讨宫腔镜电切术治疗异常子宫出血手术的疗效及影响因素。方法　应用连续灌流式宫腔镜，对３６ 例异常子宫出血患者进行宫腔镜电切手术治疗，其中９ 例为子宫内膜切除、１６ 例为肌瘤及部分内膜切除、９ 例为肌瘤切除、２ 例为息肉及部分内膜切除。结果　术中、术后并发症发生率为８ ．３ ％ 。术后随访４ ～１２ 个月者３２ 例，月经改善率为８２ ．４ ％ ，其中闭经５ ．９ ％ ，月经量减少５８ ．８ ％ ，月经量正常１７ ．６ ％ ，８ 例痛经中６ 例改善，术后满意率７６ ．５ ％ 。手术无效行子宫切除２ 例。术后１０ 个月月经改善率低于术后６ 个月，与切割深度不足有关。闭经率低与切割不完全有关。结论宫腔镜电切术治疗异常子宫出血，短期疗效高、并发症少。长期疗效尚待观察。在提高手术技术和基础知识的同时，应掌握适当的手术指征。更多还原

【Abstract】 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% recoverd 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.更多还原