摘要
目的探究宫腔镜下不同手术方式治疗子宫内膜息肉(EP)的临床效果。方法将行宫腔镜手术且术后病理诊断为EP的122例患者依照患者意愿分为电切组(80例,宫腔镜电切术)和刮宫组(42例,宫腔镜刮宫术)。比较两组的治疗效果。结果电切组的手术用时、手术时出血量及住院天数均优于刮宫组(P<0.05)。术后3、6个月,两组的子宫内膜厚度均降低,且电切组低于刮宫组(P<0.05)。术后1、3、6个月,两组Hb水平均升高(P<0.05);术后3、6月,电切组Hb水平高于刮宫组(P<0.05)。电切组的月经改善总有效率高于刮宫组,远期并发症总发生率及复发率均低于刮宫组(P<0.05)。结论宫腔镜电切术较宫腔镜刮宫术治疗EP有术时出血少、住院天数短、术后月经改善情况好、并发症少、复发率低等优势,值得临床推广。
Objective To study the clinical effect of different operation methods under hysteroscopy in the treatment of endometrial polyps(EP).Methods A total of 122 patients who underwent hysteroscopic surgery and diagnosed with EP after pathological were divided into electrotomy group(80 cases,hysteroscopic electrotomy)and curettage group(42 cases,hysteroscopic curettage)according to the patients'wishes.The therapeutic effects of the two groups were compared.Results The operation time,amount of bleeding during the operation and the length of hospital stay in the electrotomy group were better than those in the curettage group(P<0.05).At 3 and 6 months after surgery,endometrial thickness in both groups decreased,and those in the electrotomy group were lower than the curettage group(P<0.05).At 1,3 and 6 months after surgery,the Hb levels in both groups increased(P<0.05);at three and six months after surgery,the Hb levels of the electrotomy group were higher than those of the curettage group(P<0.05).The total effective rate of menstrual improvement in the electrotomy group was higher than that in the curettage group,the total incidence of long-term complications and recurrence rate were lower than those in the curettage group(P<0.05).Conclusion Compared with hysteroscopic curettage,hysteroscopic electrotomy in the treatment of EP has the advantages of less bleeding,shorter hospitalization days,better postoperative menstrual improvement,fewer complications and lower recurrence rate,which is worthy of clinical promotion.
作者
貊媛媛
王登兰
薄晓莉
何白玉
马鑫
MO Yuan-yuan;WANG Deng-lan;BO Xiao-li;HE Bai-yu;MA Xin(Gynaecology and Obstetrics Department,the Second Affiliated Hospital of Xinjiang Medical University,Urumqi 830063,China)
出处
《临床医学研究与实践》
2020年第18期77-79,共3页
Clinical Research and Practice
关键词
宫腔镜电切术
子宫内膜息肉
宫腔镜刮宫术
hysteroscopic electrotomy
endometrial polyps
hysteroscopic curettage
