摘要
目的探究宫腔镜子宫内膜息肉切除术治疗子宫内膜息肉患者的效果。方法方便选取2021年6月—2023年6月河池市第一人民医院收治的86例子宫内膜息肉患者为研究对象,按照随机数表法分为两组,各43例。对照组予以宫腔镜下刮宫术,观察组予以宫腔镜子宫内膜息肉切除术,对比两组治疗疗效、月经情况及子宫内膜、性激素水平与术后并发症发生情况。结果观察组治疗有效率(97.67%)高于对照组(83.72%),差异有统计学意义(χ^(2)=4.962,P<0.05)。治疗6个月后,观察组月经期、月经量、子宫内膜厚度分别为(5.42±1.08)d、(56.48±10.26)分、(3.94±0.98)mm,均优于对照组,差异有统计学意义(t=5.998、6.604、3.825,P均<0.05)。观察组黄体生成素、孕酮分别为(4.19±0.54)IU/L、(1.18±0.11)pg/mL均高于对照组,雌二醇(62.26±11.26)pg/mL低于对照组,差异有统计学意义(t=8.564、6.848、5.847,P均<0.05)。观察组并发症发生率(2.33%)低于对照组(13.95%),差异有统计学意义(χ^(2)=3.888,P<0.05)。结论宫腔镜子宫内膜息肉切除术用于子宫内膜息肉治疗上具有显著成效,能进一步改善患者术后月经情况及子宫内膜厚度,且维持患者机体性激素水平,降低治疗后并发症发生率。
Objective To explore the effect of hysteroscopic resection of endometrial polyps in the treatment of patients with endometrial polyps.Methods A total of 86 patients with endometrial polyps from the First People's Hospital of He-chi City from June 2021 to June 2023 were conveniently selected as the study objects and divided into two groups ac-cording to random number table method,with 43 patients in each group.The control group was given hysteroscopic cu-rettage,and the observation group was given hysteroscopic resection of endometrial polyps.The therapeutic efficacy,menstrual status,endometrial,sex hormone levels and postoperative complications were compared between the two groups.Results The effective rate of the observation group(97.67%)was higher than that of the control group(83.72%),and the difference was statistically significant(χ^(2)=4.962,P<0.05).After 6 months of treatment,the menstrual period,menstrual volume and endometrial thickness in the observation group were(5.42±1.08)d,(56.48±10.26)min and(3.94±0.98)mm,respectively,which were better than those in the control group,and the differences were statistically significant(t=5.998,6.604,3.825,all P<0.05).Luteinizing hormone(4.19±0.54)IU/L and progesterone(1.18±0.11)pg/mL in the observation group were higher than those in the control group,and estradiol(62.26±11.26)pg/mL were lower than those in the control group,and the differences were statistically significant(t=8.564,6.848,5.847,all P<0.05).The complication rate of observation group(2.33%)was lower than that of control group(13.95%),and the difference was statistically significant(χ^(2)=3.888,P<0.05).Conclusion Hysteroscopic resection of endometrial polyps has signifi-cant effect in the treatment of endometrial polyps,which can further improve the postoperative menstruation and endo-metrial thickness of patients,maintain the body sex hormone level of patients,and reduce the incidence of complica-tions after treatment.
作者
蒙霞
韦淑向
MENG Xia;WEI Shuxiang(Department of Gynecology,Hechi First People's Hospital,Hechi,Guangxi Zhuang Autonomous Region,546300 China)
出处
《中外医疗》
2024年第6期53-56,61,共5页
China & Foreign Medical Treatment
关键词
宫腔镜
子宫内膜息肉切除术
月经量
子宫内膜厚度
并发症
Hysteroscopy
Endometrial polyp resection
Menstrual volume
Endometrial thickness
Complication
