Comparison of the effect of NovaSure endometrial ablation and transcervical resection of endometrium in the treatment of dysfunctional uterine bleeding / 中国基层医药

ABSTRACT

Objective To explore the clinical effects of NovaSure endometrial ablation and transcervical resection of endometrium in the treatment of dysfunctional uterine bleeding(DUB).Methods There were 45 DUB patients,20 cases among them received NovaSure endometrial ablation were selected as observation group, and 25 cases received transcervical resection of endometrium were selected as control group.The average operation time, mean bleeding volum,average treatment cost were compared between the two groups.Results The observation group had better average operation time[(7.55 ±3.17)min]and mean bleeding volume[(5.10 ±3.08)mL]than the con-trol group,the differences were statistically significant (t=-9.04,-6.16,all P<0.01).While the observation group had higher average treatment cost[(13 682.25 ±1 679.04)yuan]than the control group,and the difference was statistically significant(t=10.95,P<0.01).Postoperative follow-up of 6 months to evaluate bleeding,the total effective rate between the two groups had no statistically significant difference (χ2 =0.03,P=0.87).Conclusion Implementation of NovaSure endometrial ablation can provide precise effect in treating DUB, with shorter operation time,less mean bleeding volume and other advantages,and it is worth clinical promotion and application.