摘要
目的:探究宫腔镜下子宫内膜息肉切除术(hysteroscopic endometrial polypectomy,HEP)治疗子宫内膜息肉的效果。方法:回顾性分析红安县人民医院2018年1月-2019年12月收治的200例子宫内膜息肉(endometrial polyps,EP)患者为研究对象。按照治疗方式将其分为A组及B组,每组100例。其中A组采用传统的刮宫术,B组采用HEP。比较两组术前及术后3、6、12个月的月经量及子宫内膜厚度,复发及不良反应,术后6、12个月的妊娠率。结果:术前两组月经量比较差异无统计学意义在(P>0.05),术后3、6、12个月,B组月经量分别为(137.58±54.27)、(169.53±42.16)、(202.31±67.16)ml,均少于A组的(248.66±87.52)、(272.79±51.36)、(302.77±82.35)ml(P<0.05);术前两组子宫内膜厚度比较差异无统计学意义(P>0.05),术后3、6、12个月,B组子宫内膜厚度均低于A组(P<0.05);B组复发率及不良反应发生率均低于A组(P<0.05);术后6个月,B组妊娠率(16.00%)与A组(15.00%)比较,差异无统计学意义(P>0.05),术后12个月,B组妊娠率为35.00%,明显高于A组的20.00%(P<0.05)。结论:HEP治疗EP不良反应较少,术后妊娠率高,应积极推广应用。
Objective:To investigate the effect of hysteroscopic endometrial polypectomy (HEP) in the treatment of endometrial polyps.Method:A retrospective analysis of 200 patients with endometrial polyps (EP) admitted to Hong’an County People’s Hospital from January 2018 to December 2019 was conducted.According to the treatment methods,they were divided into group A and group B,100 cases in each group.Traditional curettage was used in group A and HEP was used in group B.The menstrual volume,endometrial thickness before and at 3,6,12 months after surgery,recurrence rate and adverse reactions,and pregnancy rate at 6 and 12 months after surgery were compared between the two groups.Result:There was no significant difference in menstrual volume between the two groups before surgery (P>0.05).At 3,6 and 12 months after surgery,the menstrual volume of group B were (137.58±54.27),(169.53±42.16),(202.31±67.16) ml respectively,which were less than the (248.66±87.52),(272.79±51.36),(302.77±82.35) ml in the group A (P<0.05);there was no statistically significant difference in endometrial thickness between the two groups before surgery (P>0.05),and at 3,6 and 12 months after surgery,the endometrial thickness of group B was lower than that of group A (P<0.05).The recurrence rate and incidence of adverse reactions in group B were lower than those in group A (P<0.05).At 6 months after surgery,there was no significant difference in pregnancy rate between group B (16.00%) and group A (15.00%) (P>0.05).At 12 months after surgery,the pregnancy rate of group B was 35.00%,which was significantly higher than 20.00% of group A (P<0.05).Conclusion:HEP in the treatment of EP has few adverse reactions and high postoperative pregnancy rate,so it should be actively promoted and applied.
作者
程胜花
CHENG Shenghua(Hong’an County People’s Hospital,Hong’an 438400,China)
出处
《中外医学研究》
2022年第5期135-138,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
宫腔镜
子宫内膜息肉
妊娠结局
Hysteroscopy
Endometrial polyp
Pregnancy outcome
