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目的探讨宫腔镜下电切术配合球囊压迫止血治疗子宫内膜息肉的临床效果。方法将80例子宫内膜息肉患者纳入研究,接受宫腔镜下电切术,根据术中止血方法不同随机分为观察组和对照组各40例;观察组患者接受球囊压迫止血,对照组患者接受电凝止血,比较两组患者的止血情况、应激反应程度以及血液流变学指标。结果 1止血情况:观察组患者的手术时间、术后渗血持续时间、术后出血量分别为(32.38±4.52)min、(1.58±0.18)min、(16.72±1.95)ml,均明显低于对照组的(51.38±6.45)min、(2.78±0.38)min、(28.59±3.56)ml,差异有统计学意义(P<0.05);2应激程度:观察组患者血清中ACTH、Cor、NE的含量分别为(45.34±5.7)pg/ml、(124.23±14.52)ng/ml、(112.45±15.14)ng/ml均明显低于对照组(79.58±9.38)pg/ml、(197.45±25.48)ng/ml、(204.43±31.32)ng/ml,差异有统计学意义(P<0.05);3血液流变学:观察组患者的CO、MAP、SV分别为(3.91±0.45)min、(85.24±9.67)mmH g、(52.63±6.55)ml明显低于对照组的(5.81±0.72)min、(110.34±13.95)mmH g、(73.24±8.29)ml,差异有统计学意义(P<0.05)。结论宫腔镜下电切术配合球囊压迫止血治疗有助于减少创面出血,缓解应激反应,稳定血流动力学,是治疗子宫内膜息肉的理想方法。
Objective To investigate the clinical effect of hysteroscopic resection combined with balloon compression in the treatment of endometrial polyps. Methods Eighty patients with endometrial polyps were enrolled and underwent hysteroscopic resection. According to the method of intraoperative hemostasis, they were randomly divided into observation group (40 cases) and control group (40 cases). Patients in observation group received balloon compression hemostasis and control group Patients received electrocoagulation and hemostasis. Hemostasis, stress response and hemorheology were compared between the two groups. Results 1 Hemostasis: The operation time, duration of postoperative bleeding and postoperative bleeding in the observation group were (32.38 ± 4.52) min and (1.58 ± 0.18) min and (16.72 ± 1.95) ml, respectively, which were significantly lower than (51.38 ± 6.45) min, (2.78 ± 0.38) min, (28.59 ± 3.56) ml in the control group, the difference was statistically significant (P <0.05); 2 stress: the observation group of serum ACTH, Cor, NE (45.34 ± 5.7) pg / ml, (124.23 ± 14.52) ng / ml and (112.45 ± 15.14) ng / ml were significantly lower than those in the control group (79.58 ± 9.38 pg / ml, 197.45 ± 25.48, (204.43 ± 31.32) ng / ml, the difference was statistically significant (P <0.05) .3 Hemorheology: The CO, MAP and SV in the observation group were (3.91 ± 0.45) min and ± 9.67) mmHg, (52.63 ± 6.55) ml was significantly lower than that of the control group (5.81 ± 0.72) min, (110.34 ± 13.95) mmHg, (73.24 ± 8.29) ml, the difference was statistically significant (P0.05) . Conclusion Hysteroscopic resection with balloon compression hemostasis treatment can help to reduce wound bleeding, relieve stress response, stabilize hemodynamics, is the ideal method of treatment of endometrial polyps.