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The clinical efficacy of endometrial ablation by Nuoshu and hot ball for treating women with abnormal uterine bleeding |
1.Hong 'an County People's Hospital, Hubei Province, 438400;2. Shiyan Hospital of Traditional Chinese Medicine |
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Abstract Objective: To investigate the clinical efficacy of Nuoshu and hot ball endometrial ablation for treating women with abnormal uterine bleeding. Methods: 128 women with abnormal uterine bleeding were randomly divided into group A and group B (64 cases in each group). The women in the group A were treated by Nosuo endometrial ablation and the women in the group B were treated by hot ball endometrial ablation. The short-term or long-term clinical efficacy was evaluated. Results: The total effective rate of women in group A and B were 93.8% and 96.9, respectively, which had no significant difference (P>0.05). There were no significant difference in the average time of hospital stay, the volume of intraoperative blood loss, and the rate of postoperative fever of women between the two groups (P>0.05). The operation time of women in group B was significant longer than that of women in group A, the average vaginal discharge time of women in group B was significant shorter, and the abdominal pain rate of women in group B was significant higher (P<0.05). After treatment, the levels of RBC, HGB and hematocrit of all women increased significantly (P<0.05), but which had no significant difference between the two groups (P>0.05). There was no significant difference in the incidence of amenorrhea of women on the 1st, 4th, or 6th month after operation (P>0.05), but that of women in group A on the 12th or 18th month after operation was 54.7% and 50.8%, respectively, which was significant higher than that (29.7% and 25.0%) of women in Group B (P>0.05). Conclusion: As for treating women with abnormal uterine bleeding, Nuosuo endometrial ablation is more convenient, makes patients recovery quickly, has less treatment time, and no need to pretreatment. After Nuosuo endometrial ablation, the amenorrhea effect is more obvious with time, so it is the best treatment choice for abnormal uterine bleeding.
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