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目的探讨宫腔镜电切术治疗子宫内膜息肉的的临床疗效。方法 100例子宫内膜息肉患者随机分为治疗组和对照组。对照组采用常规治疗,治疗组给予宫腔镜子宫内膜息肉切除术治疗,记录术中出血量和手术时间,并于术后3、6、12个月门诊随访月经量,术后12、24个月门诊随访息肉复发情况。结果两组手术均获成功,手术成功率100%。治疗组术中出血量和手术时间均低于对照组,差异有统计学意义(t=13.719,10.180,P﹤0.05)。治疗组和对照组术后6、12个月经量与术前比较明显减少,差异有统计学意义(t=10.885,10.827;8.164,7.775;13.062,11.874,P﹤0.05);治疗组术后6个月、12个月经量与对照组比较比较明显减少,差异有统计学意义(t=10.527,10.046,P﹤0.05);治疗组术后12、24个月复发率均显著低于对照组,差异有统计学意义(t=6.984,7.473,P﹤0.05)。结论宫腔镜电切术治疗子宫内膜息肉临床疗效好,具有术中出血量少、手术时间短和术后复发率低等优点,值得临床推广应用。
Objective To investigate the clinical efficacy of hysteroscopic resection of endometrial polyps. Methods 100 cases of endometrial polyps were randomly divided into treatment group and control group. The control group received routine treatment, the treatment group were given hysteroscopic endometrial polypectomy, the amount of intraoperative blood loss and operation time, and in 3, 6, 12 months after the out-patient follow-up menstrual flow, postoperative 12,24 Month outpatient follow-up of polyp recurrence. Results Both procedures were successful and the successful rate was 100%. The blood loss and operation time of the treatment group were lower than the control group, the difference was statistically significant (t = 13.719,10.180, P <0.05). The postoperative 6,12 menstrual flow in the treatment group and the control group were significantly decreased compared with that before operation, the difference was statistically significant (t = 10.885,10.827; 8.164,7.775; 13.062,11.874, P <0.05) Month, 12 menstrual flow compared with the control group decreased significantly, the difference was statistically significant (t = 10.527,10.046, P <0.05); the treatment group 12 and 24 months after the recurrence rate was significantly lower than the control group, The difference was statistically significant (t = 6.984, 7.473, P <0.05). Conclusion Hysteroscopic resection of endometrial polyps clinical efficacy, with less blood loss, short operative time and postoperative recurrence rate is low, it is worth promoting the clinical application.