摘要目的 探讨应用TB型热球子宫内膜去除术治疗异常子宫出血的临床疗效、安全性及推广价值.方法 对象为2015年1月至2016年1月就诊北京朝阳医院妇科,使用TB型子宫内膜治疗仪治疗异常子宫出血的患者,共43例.观察术中、术后并发症及异常子宫出血改善情况、痛经改善情况.结果 术中无子宫穿孔、大出血、临近脏器损伤等并发症发生.术后6个月32例闭经,月经点滴出血6例,月经少量者3例,月经量正常者1例,无一例经量增多,闭经率76.19％ (32/42),有效率97.62％ (41/42).术前痛经14例,贫血23例,术后6个月痛经未缓解1例,明显缓解2例,痛经症状消失11例,贫血仅3例,治疗后痛经、贫血人数较前明显减少,差异有统计学意义(P＜0.01).结论 TB型热球子宫内膜去除术治疗异常子宫出血患者效果显著,安全性高,具有临床推广价值.

abstractsObjective To investigate the clinical efficacy,safety and promotion value of TB type thermal balloon endometrial ablation in the treatment of abnormal uterine bleeding.Methods Fourty three patients who had received TB type endometrial ablation system for treatment of abnormal uterine bleeding from January,2015 to January,2016 in theDepartment of gynecology,Beijing Chaoyang Hospital were enrolled in this study.The intra-operative and post-operative complications and improvement of abnormal uterine bleeding and dysmenorrhea were observed.Results There were nointra-operative complication occurred,such as uterine perforation,massive hemorrhage or surrounding organ damage.At 6 months after operation,32 patients developed amenorrhea,6 developed menstrual spotting,3 developed menstruation with a small volume and 1 had a normal menstruation.No menstruation with an increased volume occurred.The occurrence of amenorrhea was 76.19％ and the response rate was 97.62％.At 6 months after operation,1 case had no response,2 cases had partial response and 11 cases had complete response among the 14 cases of pre-operative dysmenorrhea;only 3 cases still had anemia among the 23 cases of pre-operative anemia.Compared with before treatment,patients with dysmenorrhea and anemia both significantly reduced with a statistically significant difference(P ＜ 0.01).Conclusion TB type thermal balloon endometrial ablation has a significant efficacy with high safety for the treatment of abnormal uterine bleeding,which could have clinical promotion practice.