Analysis of the outcomes of transcervical resection of endometrium in 100 cases with memorrhagia during climacteric period

Objectives To report the efficacy and outcomes of transcervical resection of the endometrium(TCRE) in treatment of menorrhagia patients during climacteric period.Methods 100 patients with menorrhagia during climacteric period.underwent TCRE under hysteroresectoscope.Among them,16 patients with submucous uterine myoma less than 5 cm in diameter had their myoma resected simultaneously,93 cases were followed up ostoperatively for 3 months to 2 years.Results TCRE was performed successfully on 82 cases,and the successful rate was 88 2%.During follow up,40 cases(48.7%) became amenorrhea,32(39%) had only spotting.The remaining 10(12 2%) had normal periods,but the blood quantities decreased.Long term complication were recurrent abnormal uterine bleeding(3 cases),heatometra (1 case) and adenomyosis(1 case).Conclusions TCRE is an effective procedure in treating menorrhagia and small submucous uterine myoma during climacteric period.