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目的:观察宫腔镜下子宫内膜电切联合刮宫术治疗多发性子宫内膜息肉(EMP)的临床疗效。方法:将130例多发性EMP患者按数字表法随机分为对照组和观察组各65例,对照组采用单纯宫腔镜下子宫内膜电切治疗,观察组采用宫腔镜下子宫内膜电切联合刮宫术治疗,对比2组手术疗效及安全性。结果:2组手术疗效相似,差异无统计学意义(P>0.05);观察组治疗后月经量较对照组改善更为显著,观察组近期疗效优于对照组,差异有统计学意义(P<0.05);观察组复发率1.54%低于对照组的10.77%,2组远期疗效差异有统计学意义(P<0.05)。结论:宫腔镜下子宫内膜电切联合刮宫术治疗多发性EMP,疗效显著,可安全、有效改善患者症状,减少术后复发风险,可根据患者具体病情及需求优先选用。
Objective: To observe the clinical efficacy of hysteroscopic endometrial resection and curettage in the treatment of multiple endometrial polyps (EMP). Methods: One hundred and thirty-three patients with multiple EMP were randomly divided into control group and observation group according to the digital table method. The control group was treated with hysteroscopic endometrial electrocision only. The observation group was treated with hysteroscopic endometrium Combined with curettage, the curative effect and safety of two groups were compared. Results: The curative effect of the two groups were similar, the difference was not statistically significant (P> 0.05). The observation group had more significant improvement than the control group in the menstrual flow, the curative effect in the observation group was better than that in the control group (P < 0.05). The recurrence rate in the observation group was 1.54% lower than that in the control group (10.77%). The long-term effects of the two groups were statistically significant (P <0.05). Conclusion: Hysteroscopic endometrial resection combined with curettage in the treatment of multiple EMP has significant curative effect, which can be safely and effectively ameliorated the symptoms of patients and reduce the risk of postoperative recurrence. It can be selected according to the specific condition and needs of patients.