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目的比较宫腔镜下电切术与刮宫术治疗子宫内膜息肉不孕患者的疗效。方法将64例子宫内膜息肉不孕患者随机分为观察组和对照组各32例。观察组患者宫腔镜下电切术治疗,对照组行刮宫术治疗。对比观察2组患者的妊娠率、手术时间、术中出血量、住院天数,治疗前后月经量变化,并发症及术后复发情况。结果 2组患者术中出血量、手术时间、住院天数等比较差异无统计学意义(P>0.05)。2组患者术后均无并发症发生。观察组有27例患者成功受孕,妊娠率为84.4%(27/32);对照组有18例患者成功受孕,妊娠率为56.2%(18/32),观察组妊娠率高于对照组,差异具有统计学意义(P<0.05);2组患者经手术治疗后均未发生子宫穿孔、周围脏器损伤、感染、大出血、宫颈粘连等并发症。2组患者手术治疗后随访时间为1年,对照组复发率为21.9%(7/32)高于观察组的9.4%(3/32)(P<0.05)。结论子宫内膜息肉不孕患者行宫腔镜下电切术比刮宫术效果显著,值得在临床推广应用。
Objective To compare the efficacy of hysteroscopic resection and curettage in the treatment of endometrial polyps infertility. Methods 64 cases of endometrial polyps infertility were randomly divided into observation group and control group of 32 cases. The observation group underwent hysteroscopic resection and the control group underwent curettage. The pregnancy rate, operation time, intraoperative blood loss, hospitalization days, changes of menstruation before and after treatment, complication and postoperative recurrence were observed. Results There was no significant difference in the amount of bleeding, operation time and days of hospitalization between the two groups (P> 0.05). No complications occurred in the two groups after operation. In the observation group, 27 patients were successfully conceived, with a pregnancy rate of 84.4% (27/32). In the control group, 18 patients were successfully conceptioned with a pregnancy rate of 56.2% (18/32). The pregnancy rate in the observation group was higher than that in the control group (P <0.05). No complications such as uterine perforation, peripheral organ injury, infection, hemorrhage and cervical adhesions occurred in the two groups after operation. The follow-up time was 1 year after operation in the two groups, 21.9% (7/32) in the control group and 9.4% (3/32) in the observation group (P <0.05). Conclusions Endometrial polyps infertility patients under hysteroscopic resection than curettage effect is significant, it is worth in the clinical application.