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目的分析子宫内膜息肉患者接受宫腔镜电切术治疗的临床效果。方法 100例子宫内膜息肉患者作为研究对象,随机分为观察组和对照组,各50例。对照组采用宫腔镜检查+刮宫术进行治疗,观察组采用宫腔镜下电切术进行治疗。观察和比较两组患者的手术指标、月经量、复发率和妊娠情况。结果两组患者的手术时间、住院时间和术中出血量比较差异无统计学意义(P>0.05)。两组术后1个月和术后3个月的月经量明显少于术前,差异有统计学意义(P<0.05)。观察组术后1个月月经量为(163.45±65.45)ml,术后3个月为(153.32±55.33)ml,少于对照组的(223.32±85.35)、(213.45±85.33)ml,差异有统计学意义(P<0.05)。观察组复发率(4%)低于对照组(20%),妊娠成功率(60%)明显高于对照组(40%),差异有统计学意义(P<0.05)。结论子宫内膜息肉患者接受宫腔镜电切术治疗的临床效果显著,安全有效,值得临床广泛应用以及推广。
Objective To analyze the clinical effect of hysteroscopic electrotomy in patients with endometrial polyps. Methods 100 cases of endometrial polyps patients as research object, were randomly divided into observation group and control group, 50 cases each. The control group was treated by hysteroscopy + curettage, and the observation group was treated by hysteroscopic resection. The operative indexes, menstrual flow, recurrence rate and pregnancy status were observed and compared between the two groups. Results There was no significant difference in operative time, hospitalization time and intraoperative blood loss between the two groups (P> 0.05). The menstrual flow in one month and three months after operation were significantly less than those before operation in both groups (P <0.05). The amount of menstruation in the observation group was (163.45 ± 65.45) ml at 1 month after operation and (153.32 ± 55.33) ml at 3 months after operation, less than that of the control group (223.32 ± 85.35) and (213.45 ± 85.33) ml respectively Statistical significance (P <0.05). The recurrence rate (4%) in observation group was lower than that in control group (20%), pregnancy success rate (60%) was significantly higher than that in control group (40%), the difference was statistically significant (P <0.05). Conclusion Endometrial polyps in patients undergoing hysteroscopic resection of the clinical effect of significant, safe and effective, it is widely used in clinical and promotion.