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目的探讨宫腔镜电切术治疗子宫内膜息肉的疗效。方法回顾性分析60例行宫腔镜电切术治疗子宫内膜息肉患者临床资料。结果 1次手术成功率10O%,术后月经量正常、周期规律30例,月经量明显减少12例,绝经18例,均未发生子宫穿孔、空气栓塞、水中毒等并发症。术后随访3年无复发,妊娠20例均顺利妊娠至足月分娩,无胎盘粘连及植入。结论宫腔镜手术是治疗子宫内膜息肉的首选方式。正确选择适应证,提高操作技巧,严格超声监测,是保障手术安全性和疗效的关键措施。
Objective To investigate the efficacy of hysteroscopic resection of endometrial polyps. Methods Retrospective analysis of 60 cases of hysteroscopic resection of endometrial polyps in patients with clinical data. Results The success rate of the first operation was 10%. The postoperative menstrual flow was normal, and the regularity of the cycle was 30. The menstrual flow was significantly reduced in 12 cases and the postmenopausal in 18 cases. No complications such as uterine perforation, air embolism and water poisoning occurred. No recurrence was observed after 3 years of operation. All 20 cases of pregnancy were delivered with full-term pregnancy to full-term pregnancy without placenta accreta and implantation. Conclusion Hysteroscopic surgery is the preferred method of treatment of endometrial polyps. The correct choice of indications, improve operating skills, strict ultrasound monitoring, is to protect the safety of surgery and the key measures.