發(fā)布時(shí)間：2018-04-12 22:18

  本文選題：功能失調(diào)性子宮出血 + 微創(chuàng)手術(shù)��； 參考：《新疆醫(yī)科大學(xué)》2014年碩士論文

【摘要】：目的：探討微創(chuàng)手術(shù)RFAE(Radiofrequency Ablation Of Endometrium)和TCRE(Transcervical Resection of Endometrium)治療功能失調(diào)性子宮出血的的臨床療效,評(píng)價(jià)其療效及安全性。方法：回顧性分析2007年1月至2012年12月在新疆醫(yī)科大學(xué)第一附屬醫(yī)院因難治性功能失調(diào)性子宮出血給予微創(chuàng)手術(shù)治療的88例患者,分為RFAE組患者42例作為A組,TCRE組46例作為B組。對(duì)兩組術(shù)中出血、手術(shù)時(shí)間、術(shù)中術(shù)后并發(fā)癥,手術(shù)治療效果及手術(shù)滿意度調(diào)查進(jìn)行對(duì)比分析。結(jié)果：手術(shù)時(shí)間、術(shù)中出血,手術(shù)療效及滿意率,P值均小于0.05,手術(shù)時(shí)間、術(shù)中出血、陰道排液分布均不服從正態(tài)分布。調(diào)查對(duì)象中,TCRE組平均手術(shù)時(shí)間是(33±9)min;RAFE組平均手術(shù)時(shí)間是(12±5)min。兩組手術(shù)時(shí)間差異有統(tǒng)計(jì)學(xué)意義(P0.05)。TCRE組手術(shù)時(shí)間明顯長(zhǎng)于RAFE組。TCRE組平均術(shù)中出血為(30±5) mL; RAFE組平均術(shù)中出血是(13±4)mL。兩組術(shù)中出血差異有統(tǒng)計(jì)學(xué)意義(P＜0.05), TCRE組術(shù)中出血明顯多于RAFE組。RFAE組手術(shù)滿意率為100%,TCRE組手術(shù)滿意率為88%。兩組治療效果及手術(shù)滿意率有統(tǒng)計(jì)學(xué)意義(P0.05),RFAE組手術(shù)滿意率明顯高于TCRE組。TCRE組平均陰道排液為(18±7)天；RAFE組平均陰道排液為(18±5)天。兩組術(shù)后陰道排液差異無統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論：子宮內(nèi)膜消融術(shù)以手術(shù)時(shí)間短,術(shù)中出血少,手術(shù)治療效果及滿意率高等優(yōu)勢(shì)可以作為微創(chuàng)手術(shù)中治療功能失調(diào)性子宮出血的首選方法。
[Abstract]:Objective: to evaluate the efficacy and safety of RFAE(Radiofrequency Ablation of Endometrium and TCRE(Transcervical Resection of Endometrium in the treatment of dysfunctional uterine hemorrhage.Methods: from January 2007 to December 2012, 88 patients with refractory dysfunctional uterine bleeding were treated with minimally invasive surgery in the first affiliated Hospital of Xinjiang Medical University.The patients were divided into two groups: group A (n = 42), group A (n = 46), group B (n = 46).A comparative analysis was made between the two groups in terms of intraoperative bleeding, operative time, intraoperative and postoperative complications, surgical treatment results and surgical satisfaction.Results: the operative time, intraoperative bleeding, operative efficacy and satisfaction rate were all less than 0.05. The operative time, intraoperative bleeding and vaginal effusion distribution were not normal.The mean operation time of TCRE group was 33 鹵9 min rafe group was 12 鹵5 min.The operative time of the two groups was significantly longer than that of the RAFE group, and the mean intraoperative bleeding was 30 鹵5 mL in the RAFE group and 13 鹵4 mL in the RAFE group.There was significant difference in intraoperative bleeding between the two groups (P < 0.05). The operative satisfaction rate of TCRE group was significantly higher than that of RAFE group.The curative effect and satisfaction rate were significantly higher in RFAE group than in TCRE group. The average vaginal effusion was 18 鹵7 days in RFAE group and 18 鹵5 days in rafe group.There was no significant difference in vaginal effusion between the two groups (P 0.05).
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：R713.4

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