Analysls of outcomes of transcervical resection of endometrium in 400 cases with menorrhagia.

Objective:To report the efficacy and outcomes of transervical resection of endometrium(ECRE)in treatment of menorrhagia.Methods:Among them,72 patients with submucous uterine myoma less than 5 cm in diameter had their myoma resected simultaneously,366 cases were followed up postoperatively for 3 months to 4 years.13 of them had a second operation.Results:TCER was performed successfully except 16 cases,giving a success rate of 95.6%.Three cases sustained uterine perforation.During follow-up,146 cases(41.7%)became amenorrhea,119(34.0%)had only spotting.The remaining 85(24.3%)had normal periods,78.3% who previously had dysmenorrhea had relieved their pain.Long-term complications were recurrent abnormal uterine bleeding of 22 cases,hematometra 5 cases and adenomyosis 4 cases.Conclusion:TCRE is an effective procedure in treating menorrhagia and small submucous uterine myoma.