摘要
目的:观测IBS妇科宫内刨削系统对子宫内膜息肉患者治疗效果和对子宫内膜厚度的影响。方法:选取笔者所在医院子宫内膜息肉患者共206例,按照数字随机分配方法分为IBS组(采用IBS妇科宫内刨削系统治疗)和CUR组(采用宫腔镜下刮匙刮除术治疗),每组103例。比较两组治疗效果。结果:IBS组术中出血量低于CUR组,手术时间及住院时间均短于CUR组,差异均有统计学意义(P<0.05);IBS组治疗总有效率高于CUR组,差异有统计学意义(P<0.05);术后3、8个月,IBS组生理期出血量均低于CUR组,排卵期子宫内膜厚度均高于CUR组,差异均有统计学意义(P<0.05);IBS组术后8个月复发率低于CUR组,差异有统计学意义(P<0.05);IBS组术后不良反应发生率低于CUR组,差异有统计学意义(P<0.05)。结论:IBS妇科宫内刨削系统可明显减少子宫内膜息肉患者生理期出血量,增加子宫内膜厚度,缩短手术时间,提高宫腔手术安全性,可在临床上倡导推广。
Objective:To observe the effect of IBS gynecological intrauterine planing system on clinical effect and endometrial thickness of patients with endometrial polyps.Method:A total of 206 patients with endometrial polyps in the author’s hospital were selected and divided into the IBS group (treated with the IBS gynecological intrauterine planing system) and the CUR group (treated with hysteroscopic curettage) according to the number random allocation method.103 cases in each group.The therapeutic effect of the two groups was compared.Result:The amount of intraoperative blood loss in the IBS group was lower than that in the CUR group,and the duration of operation and hospital stay were shorter than those in the CUR group,the differences were statistically significant (P<0.05).The total effective rate in the IBS group was higher than that in the CUR group,the difference was statistically significant (P<0.05).At 3 and 8 months after operation,the blood loss during the menstrual period in the IBS group was lower than that in the CUR group,and the endometrial thickness during ovulation was higher than that in the CUR group,the differences were statistically significant (P<0.05).The postoperative recurrence rate in the IBS group was lower than that in the CUR group 8 months after operation,the difference was statistically significant (P<0.05).The incidence of postoperative adverse reactions in the IBS group was lower than that in the CUR group,the difference was statistically significant (P<0.05).Conclusion:IBS gynecological intrauterine planing system can significantly reduce the bleeding volume of patients with endometrial polyps in physiological period,increase the endometrial thickness,shorten the operation time,and improve the safety of uterine cavity surgery,which can be promoted in clinical practice.
作者
吕鑫华
王金永
LYU Xinhua;WANG Jinyong(Longyan First Affiliated Hospital of Fujian Medical University,Longyan 364000,China;不详)
出处
《中外医学研究》
2021年第12期18-20,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
IBS妇科宫内刨削系统
子宫内膜息肉
临床效果
内膜厚度
IBS gynecological intrauterine planing system
Endometrial polyps
Clinical effect
Endometrial thickness
