Transcervical resection of endometrium in obstinate dysfunctional uterine bleeding clinical analysis of 81 cases

Objective:To evaluate the clinical effectiveness of transcervical resection of endometrium (TCRE).Methods:From February 2006 to June 2008 there were 81 cases who suffered from dysfunctional uterine bleeding,all cases were performed by TCRE.The 81 patients were divided into two groups.One was mechanical preparation group,the other was not mechanical preparation group.The comparations were done.The regulary follow-up were carried out after TCRE.Results:81 cases were performed by ultrasound without serious complications occurred.Mean time of operation was(14.64±4.57) minutes and mean duration of follow-up was(12.35±1.34) months.After TCRE,35 cases became amenorrhea.32 cases were proved to be improved in their menorrhea,10 cases were normal,giving a success rate of 95.1%. With pretreatment the operation time and absorption of fluid,were significantly shorter and less than unpretreatment group(P0.05).There were no significant difference between before TCRE and after TCRE in ovarian hormones.Conclusion:TCRE is a safe and effective procedure in treating obstinate dysfunctional uterine bleeding.Adenomyosis is probably the one of failure factors of TCRE.Mechanical pretreatment can effectively shorten time of operation and absorption of fluid.TCRE dose not influence the ovarian function.