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目的:探讨宫腔镜电切术治疗子宫内膜息肉的临床价值。方法:选取2010年6月～2011年6月期间在荣成市人民医院确诊为子宫内膜息肉的94例患者,根据患者意愿分组为刮宫组43例及宫腔镜组51例,刮宫组给予传统刮宫治疗,宫腔镜组在宫腔镜下行子宫内膜电切术治疗。观察两组患者手术时间、术中出血量、住院时间,术后1个月、3个月时月经恢复时间、月经量、宫腔粘连、宫颈管粘连等并发症情况及子宫内膜息肉复发等情况。结果:在手术时间及住院时间方面比较,宫腔镜组稍长于刮宫组(P<0.05),术中出血量及月经恢复时间两组之间差异无统计学意义(P>0.05);术后随访月经量较术前明显减少,3个月时刮宫组失访3例,宫腔镜组失访2例,月经量较1个月时有所增加,在术后1个月、3个月随访两组患者月经量存在统计学差异(P<0.05);术后并发症及子宫内膜息肉复发方面,两组比较差异无统计学意义(P>0.05)。结论:宫腔镜电切术治疗子宫内膜息肉安全、有效,术后复发率低,对于子宫内膜息肉可作为首选治疗方式。
Objective: To investigate the clinical value of hysteroscopic electrotomy in the treatment of endometrial polyps. Methods: Ninety-four patients diagnosed as endometrial polyps in Rongcheng People’s Hospital from June 2010 to June 2011 were selected. According to the wishes of the patients, 43 cases were treated by curettage and 51 cases were treated by hysteroscopy. Curettage, hysteroscopic endometrial resection in hysteroscopic surgery. The complications such as operation time, intraoperative blood loss, hospitalization time, postoperative menstruation recovery time, menstrual volume, intrauterine adhesions, cervical canal adhesion and recurrence of endometrial polyps were observed Happening. Results: Compared with the curettage group (P <0.05), there was no significant difference between the two groups in the amount of bleeding and menstruation recovery during operation and hospitalization (P> 0.05) Follow-up menstrual flow was significantly reduced compared with preoperative, 3 months curettage group lost 3 cases, hysteroscopy group lost 2 cases, menstruation increased compared with 1 month, 1 month after surgery, 3 months There were significant differences in menstrual flow between the two groups (P <0.05). There was no significant difference between the two groups in postoperative complications and endometrial polyps recurrence (P> 0.05). Conclusion: Hysteroscopic resection of endometrial polyps is safe and effective, and the recurrence rate is low. Endometrial polyps can be used as the first choice of treatment.