宫腔镜在子宫内膜增生症所致不孕患者中的应用.doc

宫腔镜在子宫内膜增生症所致不孕患者中的应用沈树娜张琳王辉（内蒙古医学院第三附属医院妇产科，内蒙古包头014010）摘要目的探讨宫腔镜下子宫内膜电切术在子宫内膜增生症所致不孕患者治疗中的效果。方法2007年10月至2011年2月，采用宫腔镜下子宫内膜电切术TRANSCERVICALRESECTIONOFENDOMETRIUM,TCRE治疗反复药物治疗无效的子宫内膜增生症所致不孕患者16例，术前诊刮子宫内膜病理为单纯性增生14例，复杂性增生2例，术后随访至今。结果16例手术均顺利完成，无子宫穿孔、过度水化综合征和盆腔脏器损伤等并发症，随访至今，7例妊娠，术后血激素水平与术前差异无显著性（P005）结论TCRE为久治不愈的子宫内膜增生症且有生育要求的患者开辟了一条新的治疗途径。关键词子宫内膜增生症不孕宫腔镜下子宫内膜电切术THETREATMENTOFTRANSCERVICALRESECTIONOFENDOMETRIUMININFERTILITYWITHENDOMETRIALHYPERPLASIASHENSHUNA,ZHANGLIN,WANGHUIDEPARTMENTOFGYNECOLOGYANDOBSTETRICS,THETHIRDAFFILIATEDHOSPITALOFINNERMONGOLIAMEDICALCOLLEGE,INNERMONGOLIABAOTOU014010,CHINAABSTRACTOBJECTIVETOEVALUATETHECLINICALEFFECTIVENESSOFTRANSCERVICALRESECTIONOFENDOMETRIUMTCREMETHODSFROMOCTOBER2007TOFEBERARY2011THEREWERE16CASESWHOSUFFEREDFROMINFERTILITYWITHENDOMETRIALHYPERPLASIA，ALLCASESWEREPERFORMEDBYTCRE,14CASESWERESIMPLEHYPERPLASIA,2CASESWERECOMPLEXHYPERPLASIARESULTS16CASESWEREPERFORMEDSMOOTHLYWITHOUTSERIOUSCOMPLICATIONSOCCURREDTHEREWAS7PREGANCYOCCURREDWITHATTHEPRESENTOFFOLLO