Clinical Analysis of Late Complications After Hysteroscopic Transcervical Resection of Endometrium
10.3969/j.issn.1009-6604.2014.11.002
- VernacularTitle:宫腔镜子宫内膜电切术后晚期并发症的分析
- Author:
Fengxian FU
;
Hua DUAN
- Publication Type:Journal Article
- Keywords:
Hysteroscopy;
Endometrial residual or regeneration;
Transcervical resection of endometrium
- From:
Chinese Journal of Minimally Invasive Surgery
2014;(11):973-976
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze clinical characteristics and treatment experience for late complications after hysteroscopic transcervical resection of endometrium ( TCRE) . Methods Clinical data of 13 cases of late complications after hysteroscopic TCRE for dysfunctional uterine bleeding from January 2006 to June 2014 were retrospectively analyzed .A re-operation of hysteroscopic exploration and resection were required . Results The re-operation in the 13 patients found 6 cases of hematocele in uterine cavity (4 cases in the uterine horn, 2 cases in the uterine cavity) and 7 cases of focal or whole uterine endometrial hyperplasia (including 1 cases of PASS syndrome and 1 case of endometrial pathology of grade Ⅰatypical hyperplasia ) .Postoperative symptoms were relieved in 7 cases (53.8%).Laparoscopic total hysterectomy was performed in 3 cases of adenomyosis complicated with secondary progressive dysmenorrhea (23.1%), 2 cases of endometrial proliferation associated with a breast cancer history (15.4%), and 1 case of endometrial atypical hyperplasia grade Ⅰ (7.7%). Conclusion After hysteroscopic TCRE, residual functional endometrium or future regeneration of endometrium may lead to late complications , which need further clinical diagnosis and treatment .
